In [1]:
# ! pip install -U pip setuptools wheel
# ! pip install spacy==3.7.5
# ! python -m spacy download en_core_web_sm

# !pip install scispacy
# !pip install https://s3-us-west-2.amazonaws.com/ai2-s2-scispacy/releases/v0.5.4/en_core_sci_md-0.5.4.tar.gz
# !pip install https://s3-us-west-2.amazonaws.com/ai2-s2-scispacy/releases/v0.5.4/en_ner_craft_md-0.5.4.tar.gz
# !pip install https://s3-us-west-2.amazonaws.com/ai2-s2-scispacy/releases/v0.5.4/en_ner_jnlpba_md-0.5.4.tar.gz
# !pip install https://s3-us-west-2.amazonaws.com/ai2-s2-scispacy/releases/v0.5.4/en_ner_bc5cdr_md-0.5.4.tar.gz
# !pip install https://s3-us-west-2.amazonaws.com/ai2-s2-scispacy/releases/v0.5.4/en_ner_bionlp13cg_md-0.5.4.tar.gz
# !pip install https://s3-us-west-2.amazonaws.com/ai2-s2-scispacy/releases/v0.5.4/en_core_sci_lg-0.5.4.tar.gz
# !pip install gensim
# !pip install transformers
In [2]:
import warnings
warnings.filterwarnings("ignore")
import pandas as pd
import numpy as np
import matplotlib.pyplot as plt
import seaborn as sns
import datetime
from pandas import read_csv
from wordcloud import WordCloud
import spacy
pd.set_option('display.max_rows', None)
In [3]:
# Load all required data files: DEMO data
patients = pd.read_csv("C:\\Users\\harsh\\Desktop\\HBK008\\Holland Bloorview\\projects\\AI4H_UT\\full_dataset\\PATIENTS.csv")
admissions = pd.read_csv("C:\\Users\\harsh\\Desktop\\HBK008\\Holland Bloorview\\projects\\AI4H_UT\\full_dataset\\ADMISSIONS.csv")
prescriptions = pd.read_csv("C:\\Users\\harsh\\Desktop\\HBK008\\Holland Bloorview\\projects\\AI4H_UT\\full_dataset\\PRESCRIPTIONS.csv")
microbiologyevents = pd.read_csv("C:\\Users\\harsh\\Desktop\\HBK008\\Holland Bloorview\\projects\\AI4H_UT\\full_dataset\\MICROBIOLOGYEVENTS.csv")
diagnoses_icd = pd.read_csv("C:\\Users\\harsh\\Desktop\\HBK008\\Holland Bloorview\\projects\\AI4H_UT\\full_dataset\\DIAGNOSES_ICD.csv")
In [4]:
noteevents = pd.read_csv("C:\\Users\\harsh\\Desktop\\HBK008\\Holland Bloorview\\projects\\AI4H_UT\\full_dataset\\NOTEEVENTS.csv.gz")
In [5]:
noteevents.head()
Out[5]:
ROW_ID SUBJECT_ID HADM_ID CHARTDATE CHARTTIME STORETIME CATEGORY DESCRIPTION CGID ISERROR TEXT
0 174 22532 167853.0 2151-08-04 NaN NaN Discharge summary Report NaN NaN Admission Date: [**2151-7-16**] Dischar...
1 175 13702 107527.0 2118-06-14 NaN NaN Discharge summary Report NaN NaN Admission Date: [**2118-6-2**] Discharg...
2 176 13702 167118.0 2119-05-25 NaN NaN Discharge summary Report NaN NaN Admission Date: [**2119-5-4**] D...
3 177 13702 196489.0 2124-08-18 NaN NaN Discharge summary Report NaN NaN Admission Date: [**2124-7-21**] ...
4 178 26880 135453.0 2162-03-25 NaN NaN Discharge summary Report NaN NaN Admission Date: [**2162-3-3**] D...
In [6]:
noteevents_cols  = list(noteevents.columns)
noteevents_cols
Out[6]:
['ROW_ID',
 'SUBJECT_ID',
 'HADM_ID',
 'CHARTDATE',
 'CHARTTIME',
 'STORETIME',
 'CATEGORY',
 'DESCRIPTION',
 'CGID',
 'ISERROR',
 'TEXT']
In [7]:
noteevents.shape
Out[7]:
(2083180, 11)
In [9]:
diagnoses_icd.info()
diagnoses_icd.iloc[0]
print(diagnoses_icd.iloc[0])
print(diagnoses_icd.columns)

print(len(diagnoses_icd))
<class 'pandas.core.frame.DataFrame'>
RangeIndex: 651047 entries, 0 to 651046
Data columns (total 5 columns):
 #   Column      Non-Null Count   Dtype  
---  ------      --------------   -----  
 0   ROW_ID      651047 non-null  int64  
 1   SUBJECT_ID  651047 non-null  int64  
 2   HADM_ID     651047 non-null  int64  
 3   SEQ_NUM     651000 non-null  float64
 4   ICD9_CODE   651000 non-null  object 
dtypes: float64(1), int64(3), object(1)
memory usage: 24.8+ MB
ROW_ID          1297
SUBJECT_ID       109
HADM_ID       172335
SEQ_NUM          1.0
ICD9_CODE      40301
Name: 0, dtype: object
Index(['ROW_ID', 'SUBJECT_ID', 'HADM_ID', 'SEQ_NUM', 'ICD9_CODE'], dtype='object')
651047
In [11]:
subarr=diagnoses_icd[diagnoses_icd['ICD9_CODE']=='E8881']['SUBJECT_ID'].to_numpy()
print(len(subarr))


arr_subject_id=[]
arr_hadm_id=[]
for row in range(0, len(diagnoses_icd)):
  if(diagnoses_icd.loc[row, 'ICD9_CODE']=='E8881'):
    arr_subject_id.append(diagnoses_icd.loc[row, 'SUBJECT_ID'])

    # print(diagnoses_icd_df.loc[row, 'SUBJECT_ID'])
print('length of array is:',len(arr_subject_id))
74
length of array is: 74
In [12]:
icd9_E8881_patients_discharge_summary_df = pd.DataFrame(columns=['SUBJECT_ID', 'CATEGORY', 'TEXT'])
patients_dict = {"SUBJECT_ID":[],"CATEGORY":[],"TEXT":[]};
In [15]:
for i in range(0, len(noteevents)):
  if((noteevents.loc[i, 'SUBJECT_ID'] in arr_subject_id) and (noteevents.loc[i, 'CATEGORY'] == 'Nutrition')):
   patients_dict["SUBJECT_ID"].append(noteevents.loc[i, 'SUBJECT_ID'])
   patients_dict["CATEGORY"].append(noteevents.loc[i, 'CATEGORY'])
   patients_dict["TEXT"].append(noteevents.loc[i, 'TEXT'])
In [16]:
patients_df = pd.DataFrame(patients_dict)
patients_df.shape
Out[16]:
(22, 3)
In [17]:
print(patients_df.iloc[0]['TEXT'])
Patient transferred to MICU for concern for aspiration.  Diet changed
   to NPO; NGT in for medication.  Noted plan to transition to comfort
   focused care.
   Will sign off at this time.  Please consult if needed. Pager *[**Numeric Identifier 5307**]

In [18]:
import os
path = r'C:\Users\harsh\Desktop\HBK008\Holland Bloorview\projects\AI4H_UT'
patients_df.to_csv(os.path.join(path, r'ICD9-E8881_Patients_NutritionNotes.csv'), index=False)
In [22]:
nlp = spacy.load('en_core_web_sm')
notes = []
with open('ICD9-E8881_Patients_NutritionNotes.csv', 'r') as fin:
  lines = fin.readlines()
  for line in lines:
    notes.append(line)
print(notes)
print(len(notes))
['SUBJECT_ID,CATEGORY,TEXT\n', '17610,Nutrition,"Patient transferred to MICU for concern for aspiration.  Diet changed\n', '   to NPO; NGT in for medication.  Noted plan to transition to comfort\n', '   focused care.\n', '   Will sign off at this time.  Please consult if needed. Pager *[**Numeric Identifier 5307**]\n', '"\n', '40493,Nutrition,"Objective\n', '   Pertinent medications: RISS, SS lytes, thiamin, folate, lasix, bowel\n', '   regimen, MOM, reglan, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   93 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Glucose Finger Stick\n', '   120\n', '   [**2172-11-9**] 08:57 AM\n', '   BUN\n', '   15 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Creatinine\n', '   0.6 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2172-11-9**] 01:50 AM\n', '   Potassium\n', '   3.9 mEq/L\n', '   [**2172-11-9**] 01:50 AM\n', '   Chloride\n', '   106 mEq/L\n', '   [**2172-11-9**] 01:50 AM\n', '   TCO2\n', '   24 mEq/L\n', '   [**2172-11-9**] 01:50 AM\n', '   PO2 (arterial)\n', '   66 mm Hg\n', '   [**2172-11-9**] 08:57 AM\n', '   PCO2 (arterial)\n', '   41 mm Hg\n', '   [**2172-11-9**] 08:57 AM\n', '   pH (arterial)\n', '   7.42 units\n', '   [**2172-11-9**] 08:57 AM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2172-11-1**] 06:06 PM\n', '   CO2 (Calc) arterial\n', '   28 mEq/L\n', '   [**2172-11-9**] 08:57 AM\n', '   Albumin\n', '   2.6 g/dL\n', '   [**2172-11-3**] 02:24 AM\n', '   Calcium non-ionized\n', '   8.7 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Phosphorus\n', '   4.5 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Ionized Calcium\n', '   1.11 mmol/L\n', '   [**2172-11-5**] 01:34 PM\n', '   Magnesium\n', '   2.2 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Current diet order / nutrition support: Fibersource HN@60mL/hr (1728\n', '   kcals/73 gr aa) not infusing\n', '   GI: Abd soft/+bs\n', '   Assessment of Nutritional Status\n', '   Specifics:\n', '   Pt extubated earlier today.  Pt was previously tolerating TF\n', 's @ goal,\n', '   meeting 100% estimated nutrition needs.  Anticipate diet advancement as\n', '   able.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   Advance diet per team c/ swallow eval if pt shows s/s of aspiration and\n', "   advance diet per SLP- vs place NGT and resume TF's if unable to take\n", '   po\n', "   Will follow plan -please page c/ ?'s #[**Numeric Identifier 1684**]\n", '"\n', '40493,Nutrition,"Subjective\n', '   intubated\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   168 cm\n', '   65 kg\n', '   23.1\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   64.4 kg\n', '   101%\n', '   Diagnosis: S/P Fall\n', '   PMH : etoh, smoker, cirrhosis\n', '   Food allergies and intolerances:  NKFA\n', '   Pertinent medications: fentanyl, LR @ 10 ml/hr, lasix, versed, RISS, IV\n', '   abx, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   155 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Glucose Finger Stick\n', '   151\n', '   [**2172-11-2**] 08:00 AM\n', '   BUN\n', '   17 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Creatinine\n', '   0.8 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Sodium\n', '   146 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   Potassium\n', '   3.6 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   TCO2\n', '   29 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   PO2 (arterial)\n', '   113 mm Hg\n', '   [**2172-11-2**] 11:55 AM\n', '   PCO2 (arterial)\n', '   41 mm Hg\n', '   [**2172-11-2**] 11:55 AM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2172-11-2**] 11:55 AM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2172-11-1**] 06:06 PM\n', '   CO2 (Calc) arterial\n', '   30 mEq/L\n', '   [**2172-11-2**] 11:55 AM\n', '   Albumin\n', '   3.0 g/dL\n', '   [**2172-10-31**] 02:55 AM\n', '   Calcium non-ionized\n', '   8.1 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Phosphorus\n', '   2.5 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Ionized Calcium\n', '   1.16 mmol/L\n', '   [**2172-11-2**] 11:55 AM\n', '   Magnesium\n', '   1.7 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   ALT\n', '   14 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   Alkaline Phosphate\n', '   73 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   AST\n', '   43 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   Total Bilirubin\n', '   3.4 mg/dL\n', '   [**2172-10-31**] 02:55 AM\n', '   WBC\n', '   23.2 K/uL\n', '   [**2172-11-2**] 01:06 AM\n', '   Hgb\n', '   9.1 g/dL\n', '   [**2172-11-2**] 01:06 AM\n', '   Hematocrit\n', '   27.2 %\n', '   [**2172-11-2**] 01:06 AM\n', '   Current diet order / nutrition support: NPO replete with fiber @ 60\n', '   ml/hr\n', '   GI: OGT\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', '   Pt at risk due to: NPO / hypocaloric diet\n', '   Estimated Nutritional Needs\n', '   Calories: 1625-[**2114**]  (25-30 cal/kg)\n', '   Protein: 78-91 (1.2-1.4 g/kg)\n', '   Fluid: per team\n', '   Estimation of previous intake: Likely Adequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics: 57 year old male transferred from OSH, intubated there. Pt\n', '   S/P fall  CT shows Stage IV splenic laceration. Tolerating TF with\n', '   minimal residuals [**Name8 (MD) **] RN. Current TF provides 1440 kcals/89 g Pro.\n', '   Recommend changing TF to better meet nutritional needs.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   1.       Check chemistry 10 panel daily\n', '   2.       Change TF to goal of Fibersource HN @ 65ml/hr (1872 kcals/83 g\n', '   Pro)\n', '   3.       Pls page with questions [**Numeric Identifier 2584**]\n', '"\n', '40493,Nutrition,"Subjective\n', '   intubated\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   168 cm\n', '   65 kg\n', '   23.1\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   64.4 kg\n', '   101%\n', '   Diagnosis: S/P Fall\n', '   PMH : etoh, smoker, cirrhosis\n', '   Food allergies and intolerances:  NKFA\n', '   Pertinent medications: fentanyl, LR @ 10 ml/hr, lasix, versed, RISS, IV\n', '   abx, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   155 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Glucose Finger Stick\n', '   151\n', '   [**2172-11-2**] 08:00 AM\n', '   BUN\n', '   17 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Creatinine\n', '   0.8 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Sodium\n', '   146 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   Potassium\n', '   3.6 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   TCO2\n', '   29 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   PO2 (arterial)\n', '   113 mm Hg\n', '   [**2172-11-2**] 11:55 AM\n', '   PCO2 (arterial)\n', '   41 mm Hg\n', '   [**2172-11-2**] 11:55 AM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2172-11-2**] 11:55 AM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2172-11-1**] 06:06 PM\n', '   CO2 (Calc) arterial\n', '   30 mEq/L\n', '   [**2172-11-2**] 11:55 AM\n', '   Albumin\n', '   3.0 g/dL\n', '   [**2172-10-31**] 02:55 AM\n', '   Calcium non-ionized\n', '   8.1 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Phosphorus\n', '   2.5 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Ionized Calcium\n', '   1.16 mmol/L\n', '   [**2172-11-2**] 11:55 AM\n', '   Magnesium\n', '   1.7 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   ALT\n', '   14 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   Alkaline Phosphate\n', '   73 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   AST\n', '   43 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   Total Bilirubin\n', '   3.4 mg/dL\n', '   [**2172-10-31**] 02:55 AM\n', '   WBC\n', '   23.2 K/uL\n', '   [**2172-11-2**] 01:06 AM\n', '   Hgb\n', '   9.1 g/dL\n', '   [**2172-11-2**] 01:06 AM\n', '   Hematocrit\n', '   27.2 %\n', '   [**2172-11-2**] 01:06 AM\n', '   Current diet order / nutrition support: NPO replete with fiber @ 60\n', '   ml/hr\n', '   GI: OGT\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', '   Pt at risk due to: NPO / hypocaloric diet\n', '   Estimated Nutritional Needs\n', '   Calories: 1625-[**2114**]  (25-30 cal/kg)\n', '   Protein: 78-91 (1.2-1.4 g/kg)\n', '   Fluid: per team\n', '   Estimation of previous intake: Likely Adequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics: 57 year old male transferred from OSH, intubated there. Pt\n', '   S/P fall  CT shows Stage IV splenic laceration. Tolerating TF with\n', '   minimal residuals [**Name8 (MD) **] RN. Current TF provides 1440 kcals/89 g Pro.\n', '   Recommend changing TF to better meet nutritional needs.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   1.       Check chemistry 10 panel daily\n', '   2.       Change TF to goal of Fibersource HN @ 65ml/hr (1872 kcals/83 g\n', '   Pro)\n', '   3.       Pls page with questions [**Numeric Identifier 2584**]\n', '"\n', '61565,Nutrition,"Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   88.2 kg\n', '   27.8\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   75.3 kg\n', '   117%\n', '   Diagnosis: Head Bleed\n', '   PMH : DM.\n', '   Food allergies and intolerances:\n', '   Pertinent medications: Esmolol, famotidine, colace, lytes ss, dilantin,\n', '   ssri, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   143 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Glucose Finger Stick\n', '   155\n', '   [**2100-11-1**] 02:00 AM\n', '   BUN\n', '   18 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Creatinine\n', '   0.8 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Sodium\n', '   142 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   Potassium\n', '   4.1 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   TCO2\n', '   26 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   PO2 (arterial)\n', '   109 mm Hg\n', '   [**2100-11-1**] 04:35 AM\n', '   PCO2 (arterial)\n', '   38 mm Hg\n', '   [**2100-11-1**] 04:35 AM\n', '   pH (arterial)\n', '   7.48 units\n', '   [**2100-11-1**] 04:35 AM\n', '   CO2 (Calc) arterial\n', '   29 mEq/L\n', '   [**2100-11-1**] 04:35 AM\n', '   Albumin\n', '   3.8 g/dL\n', '   [**2100-10-30**] 03:27 AM\n', '   Calcium non-ionized\n', '   8.9 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Phosphorus\n', '   2.5 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Ionized Calcium\n', '   1.22 mmol/L\n', '   [**2100-10-31**] 02:41 AM\n', '   Magnesium\n', '   2.3 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Phenytoin (Dilantin)\n', '   10.1 ug/mL\n', '   [**2100-10-31**] 02:34 AM\n', '   WBC\n', '   12.1 K/uL\n', '   [**2100-11-1**] 02:37 AM\n', '   Hgb\n', '   11.9 g/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Hematocrit\n', '   33.9 %\n', '   [**2100-11-1**] 02:37 AM\n', '   Current diet order / nutrition support: Replete with fiber Full\n', '   strength; Goal rate: 65 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   GI:\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', '   Pt at risk due to: NPO / hypocaloric diet\n', '   Estimated Nutritional Needs\n', '   Calories: [**2027**]-2200 (BEE x  or / 22-25 cal/kg)\n', '   Protein: 114 (1.3 g/kg)\n', '   Fluid:\n', '   Estimation of previous intake: Adequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital\n', '   SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on\n', '   TF yesterday, currently tol goal TF without issue, per chart, pt with +\n', '   gag, will plan to extubate this am.  If unable to extubate, will need\n', "   to change TF to better meet pt's needs.\n", '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   Tube feeding recommendations:\n', '   Check chemistry 10 panel daily and replete\n', '   Cont Bg management\n', '   Pplease page [**Numeric Identifier 1550**] if has ?\n', '"\n', '61565,Nutrition,"Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm est.\n', '   88.2 kg\n', '   27.8\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   75.3 kg\n', '   117%\n', '   Diagnosis: Head Bleed\n', '   PMH : DM, HTN\n', '   Food allergies and intolerances:\n', '   Pertinent medications: Esmolol, famotidine, colace, lytes ss, dilantin,\n', '   ssri, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   143 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Glucose Finger Stick\n', '   155\n', '   [**2100-11-1**] 02:00 AM\n', '   BUN\n', '   18 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Creatinine\n', '   0.8 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Sodium\n', '   142 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   Potassium\n', '   4.1 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   TCO2\n', '   26 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   PO2 (arterial)\n', '   109 mm Hg\n', '   [**2100-11-1**] 04:35 AM\n', '   PCO2 (arterial)\n', '   38 mm Hg\n', '   [**2100-11-1**] 04:35 AM\n', '   pH (arterial)\n', '   7.48 units\n', '   [**2100-11-1**] 04:35 AM\n', '   CO2 (Calc) arterial\n', '   29 mEq/L\n', '   [**2100-11-1**] 04:35 AM\n', '   Albumin\n', '   3.8 g/dL\n', '   [**2100-10-30**] 03:27 AM\n', '   Calcium non-ionized\n', '   8.9 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Phosphorus\n', '   2.5 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Ionized Calcium\n', '   1.22 mmol/L\n', '   [**2100-10-31**] 02:41 AM\n', '   Magnesium\n', '   2.3 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Phenytoin (Dilantin)\n', '   10.1 ug/mL\n', '   [**2100-10-31**] 02:34 AM\n', '   WBC\n', '   12.1 K/uL\n', '   [**2100-11-1**] 02:37 AM\n', '   Hgb\n', '   11.9 g/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Hematocrit\n', '   33.9 %\n', '   [**2100-11-1**] 02:37 AM\n', '   Current diet order / nutrition support: Replete with fiber Full\n', '   strength; Goal rate: 65 ml/hr (1560kcal/96.7g pro)\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   GI: Soft, Non-distended, Non-tender\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', '   Pt at risk due to: NPO\n', '   Estimated Nutritional Needs\n', '   Calories: 1760-2200 (BEE x  or / 20-25 cal/kg)\n', '   Protein: 114 (1.3 g/kg)\n', '   Fluid:  per team\n', '   Estimation of previous intake: likely adequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital\n', '   SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on\n', '   TF yesterday, currently tol goal TF without issue, per chart, pt with +\n', '   gag, cough, [**Last Name (LF) 1080**], [**First Name3 (LF) **] plan to extubate this am.  If unable to\n', "   extubate, will need to change TF to better meet pt's needs.\n", '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   Tube feeding recommendations:  increase TF to Replete with Fiber goal\n', '   75ml/hr (1800kcal/112g pro)\n', '   Check chemistry 10 panel daily and replete prn\n', '   Cont Bg management\n', '   Please page [**Numeric Identifier 1550**] if has ?\n', '"\n', '61565,Nutrition,"Objective\n', '   Pertinent medications: pepcid, Heparin, docusate, Abx, RISS, others\n', '   noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   128 mg/dL\n', '   [**2100-11-5**] 03:32 AM\n', '   Glucose Finger Stick\n', '   140\n', '   [**2100-11-4**] 08:00 PM\n', '   BUN\n', '   18 mg/dL\n', '   [**2100-11-5**] 03:32 AM\n', '   Creatinine\n', '   0.7 mg/dL\n', '   [**2100-11-5**] 03:32 AM\n', '   Sodium\n', '   140 mEq/L\n', '   [**2100-11-5**] 03:32 AM\n', '   Potassium\n', '   3.9 mEq/L\n', '   [**2100-11-5**] 03:32 AM\n', '   Chloride\n', '   103 mEq/L\n', '   [**2100-11-5**] 03:32 AM\n', '   TCO2\n', '   28 mEq/L\n', '   [**2100-11-5**] 03:32 AM\n', '   PO2 (arterial)\n', '   94.[**Numeric Identifier 126**] mm Hg\n', '   [**2100-11-5**] 07:26 AM\n', '   PCO2 (arterial)\n', '   37 mm Hg\n', '   [**2100-11-5**] 07:26 AM\n', '   pH (arterial)\n', '   7.49 units\n', '   [**2100-11-5**] 07:26 AM\n', '   pH (urine)\n', '   7.0 units\n', '   [**2100-11-5**] 11:05 AM\n', '   CO2 (Calc) arterial\n', '   29 mEq/L\n', '   [**2100-11-5**] 07:26 AM\n', '   Calcium non-ionized\n', '   8.7 mg/dL\n', '   [**2100-11-4**] 02:31 AM\n', '   Phosphorus\n', '   3.0 mg/dL\n', '   [**2100-11-4**] 02:31 AM\n', '   Magnesium\n', '   2.3 mg/dL\n', '   [**2100-11-4**] 02:31 AM\n', '   WBC\n', '   12.2 K/uL\n', '   [**2100-11-5**] 03:32 AM\n', '   Hgb\n', '   12.0 g/dL\n', '   [**2100-11-5**] 03:32 AM\n', '   Hematocrit\n', '   33.8 %\n', '   [**2100-11-5**] 03:32 AM\n', '   Current diet order / nutrition support: Replete c/ Fiber @65mL/hr (1560\n', '   kcals/97 gr aa)\n', '   GI: Abd: soft/+bs\n', '   Assessment of Nutritional Status\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   Pt s/p trach/PEG/and IVC filter yesterday.  TF\n', 's currently infusing @\n', '   10mL/hr. Current goal Rx will meet 88% estimated kcal and 85% estimated\n', '   aa needs therefore, will need to increase goal rate of TF\n', 's to avoid\n', '   underfeeding.  .\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   Multivitamin / Mineral supplement: vua TF\n', '   Tube feeding recommendations: Increase TF goal rate to 75 mL/hr (1800\n', '   kcals/112 gr aa)\n', '   BG management as you are\n', "   Please page c/?'s #[**Numeric Identifier 1684**]\n", '"\n', '98851,Nutrition,"Patient has been NPO and/or on unsupplemented clear liquid diet for 1\n', "   days. If patient's diet is not able to be advanced and tolerated,\n", '   [**Street Address(1) 1511**] for nutrition support\n', '   Potential for nutrition risk. Patient being monitored. Current\n', '   intervention if any, listed below:\n', '   Comments:\n', '   Pt s/p LRRT [**4-17**], c/b hypoxia and increased O2 requirements in PACU, on\n', '   clears, tolerating well. Clinically improving, possibly transfer to\n', '   floor soon.\n', '   If unable to advance diet further in 24-48hrs, patient may benefit from\n', '   nutrition support.\n', '   Will f/u with progress, po tolerance.\n', '   Please page w/ questions #[**Numeric Identifier 1687**]\n', '   12:11\n', '"\n', '58054,Nutrition,"Comments:\n', '   Screening per hospital nutrition protocol. Noted patient is comfort\n', '   measures only.  No nutrition support indicated at this time.  Will sign\n', '   off. Please consult if needed. #[**Numeric Identifier 2337**]\n', '"\n', '99573,Nutrition,"Subjective\n', '   patient confused, unable to answer questions per chart patient had\n', '   difficulty swallowing PTA d/t damaged salivary glands from XRT\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   168 cm\n', '   98.2 kg\n', '   34.9\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   59 kg\n', '   166%\n', '   68.8 kg\n', '   Diagnosis: facial fx\n', '   PMH : breast ca, tongue ca, ovarian ca, polymyalgia, NIDDM, vertigo, hx\n', '   of falls\n', '   Food allergies and intolerances:  none noted\n', '   Pertinent medications: RISS, IV abx, protonix, KCl (30 mEq), Dextrose\n', '   5% 1/2 normal saline with KCl, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   206\n', '   [**2181-6-5**] 08:00 AM\n', '   Glucose Finger Stick\n', '   222\n', '   [**2181-6-4**] 08:00 PM\n', '   BUN\n', '   11 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   Creatinine\n', '   0.5 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   Sodium\n', '   134 mEq/L\n', '   [**2181-6-4**] 11:36 PM\n', '   Potassium\n', '   4.1 mEq/L\n', '   [**2181-6-5**] 09:13 AM\n', '   Chloride\n', '   98 mEq/L\n', '   [**2181-6-4**] 11:36 PM\n', '   TCO2\n', '   26 mEq/L\n', '   [**2181-6-4**] 11:36 PM\n', '   pH (urine)\n', '   6.5 units\n', '   [**2181-6-3**] 12:30 AM\n', '   Calcium non-ionized\n', '   8.5 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   Phosphorus\n', '   2.3 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   Magnesium\n', '   2.0 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   WBC\n', '   9.2 K/uL\n', '   [**2181-6-5**] 12:03 AM\n', '   Hgb\n', '   10.9 g/dL\n', '   [**2181-6-5**] 12:03 AM\n', '   Hematocrit\n', '   32.7 %\n', '   [**2181-6-5**] 12:03 AM\n', '   Current diet order / nutrition support: NPO\n', '   GI: obese, + bowel sounds\n', '   Assessment of Nutritional Status\n', '   Obese, At risk for malnutrition\n', '   Pt at risk due to: NPO / hypocaloric diet, trauma\n', '   Estimated Nutritional Needs based on adjusted body wt\n', '   Calories: 1513-1720 (22-25 cal/kg)\n', '   Protein: 83-103 (1.2-1.5 g/kg)\n', '   Fluid: per team\n', '   Estimation of previous intake: unknown\n', '   Estimation of current intake: Inadequate d/t NPO status\n', '   Specifics: 78 year old female admitted from outside hospital S/P fall\n', '   at home with multiple injuries including Le Forte fx, multiple sinus\n', '   fx, orbital fx, facial and tongue swelling. Patient seen by SLP on [**6-4**]\n', '   who recommended patient remain NPO. If patient\n', 's diet cannot be\n', '   advanced consider initiating tube feedings to prevent further\n', '   nutritional decline.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   If diet cannot be advanced recommend starting tube feedings start with\n', '   Replete with Fiber @ 15 ml/hr advance to goal of 65 ml/hr =1560\n', '   kcals/97 g protein\n', '   Check residuals q 4-6 hours hold if greater than 150 cc\n', '   Monitor lytes and glucose with initiation of tube feeding\n', '   Change to non-dextrose IV fluids once tube feedings started\n', '   Implement any SLP recs\n', '   Will continue to follow page [**Numeric Identifier 1372**] with questions\n', '"\n', '40461,Nutrition,"Subjective\n', '   oriented x1\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   74.9 kg ([**2113-2-3**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: Ranitidine, Multi-vitamin, ABX, Folic Acid,\n', '   Thiamine, Coumadin, Lasix, Colace (held), KCl (20mEq repletion x2),\n', '   Magnesium sulfate (2g repletion), Heparin drip\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   105 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Glucose Finger Stick\n', '   127\n', '   [**2113-2-3**] 12:00 PM\n', '   BUN\n', '   25 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Creatinine\n', '   1.8 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Sodium\n', '   142 mEq/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Potassium\n', '   3.9 mEq/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Chloride\n', '   110 mEq/L\n', '   [**2113-2-3**] 05:24 AM\n', '   TCO2\n', '   25 mEq/L\n', '   [**2113-2-3**] 05:24 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.1 g/dL\n', '   [**2113-2-1**] 02:44 PM\n', '   Calcium non-ionized\n', '   7.5 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Phosphorus\n', '   3.0 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Ionized Calcium\n', '   1.08 mmol/L\n', '   [**2113-1-30**] 11:46 AM\n', '   Magnesium\n', '   2.3 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   ALT\n', '   23 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Alkaline Phosphate\n', '   51 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   AST\n', '   24 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Amylase\n', '   40 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Total Bilirubin\n', '   0.3 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   9.3 K/uL\n', '   [**2113-2-3**] 05:24 AM\n', '   Hgb\n', '   8.9 g/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Hematocrit\n', '   27.0 %\n', '   [**2113-2-3**] 05:24 AM\n', '   Current diet order / nutrition support: Diet: NPO\n', '   Calorie counts: [**2-1**] - 17 - 18\n', '   GI: soft, (+) bowel sounds; 500ml stool today\n', '   Assessment of Nutritional Status\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   49 year old male with mitral valve endocarditis, preop stroke s/p MVR\n', '   (29mm [**First Name8 (NamePattern2) **] [**First Name4 (NamePattern1) 1104**] [**Last Name (NamePattern1) 1105**]) debridement of aortic valve [**1-27**].  Patient with\n', '   prolonged poor po\n', 's during admit.  Was on ground solids + thin liquid\n', '   diet, refusing po\n', 's at times.  s/p calories counts\n', ' 880 calories [**2-1**]\n', '   and 270 calories [**2-2**].  Seen for video swallow evaluation this AM\n', '   SLP recommend NPO.  Per discussion with PA\n', ' plan for PEG placement as\n', '   previously unable to place NGT and feel that patient will pull it out.\n', '   Agree with PEG for long term nutrition support to prevent further\n', '   nutritional decline and optimize nutrition for post-op healing.  Noted\n', '   multiple lyte repletions.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Current diet / nutrition support is appropriate: continue\n', '   NPO per SLP recommendations\n', '   o         SLP follow up when appropriate\n', '          Tube feeding recommendations: Agree with PEG\n', '   o         Once feeding tube placed, recommend begin Isosource 1.5 @\n', '   20ml/hr, advance as tolerated to goal of 45ml/hr = 1620 calories and\n', '   73g protein\n', '          Check residuals, hold tube feed if greater than 200ml\n', '          Multivitamin / Mineral supplement: continue current\n', '          Check chemistry 10 panel daily\n', '   o         Replete lytes PRN\n', '   Will follow, page if questions *[**Numeric Identifier 606**]\n', '"\n', '40461,Nutrition,"Subjective\n', '   Patient oob, tube feed running at 40 ml/hr.\n', '   Objective\n', '   Pertinent medications: noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   119\n', '   [**2113-2-8**] 08:00 AM\n', '   Glucose Finger Stick\n', '   150\n', '   [**2113-2-7**] 10:00 PM\n', '   BUN\n', '   31 mg/dL\n', '   [**2113-2-8**] 02:50 AM\n', '   Creatinine\n', '   2.0 mg/dL\n', '   [**2113-2-8**] 02:50 AM\n', '   Sodium\n', '   143 mEq/L\n', '   [**2113-2-8**] 02:50 AM\n', '   Potassium\n', '   3.4 mEq/L\n', '   [**2113-2-8**] 07:52 AM\n', '   Chloride\n', '   109 mEq/L\n', '   [**2113-2-8**] 02:50 AM\n', '   TCO2\n', '   25 mEq/L\n', '   [**2113-2-8**] 02:50 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-2-7**] 05:19 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.2 g/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Calcium non-ionized\n', '   7.8 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Phosphorus\n', '   4.0 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Ionized Calcium\n', '   1.07 mmol/L\n', '   [**2113-2-7**] 05:19 PM\n', '   Magnesium\n', '   2.1 mg/dL\n', '   [**2113-2-8**] 07:52 AM\n', '   ALT\n', '   21 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Alkaline Phosphate\n', '   50 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   AST\n', '   23 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Amylase\n', '   45 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   10.1 K/uL\n', '   [**2113-2-8**] 02:50 AM\n', '   Hgb\n', '   8.3 g/dL\n', '   [**2113-2-8**] 02:50 AM\n', '   Hematocrit\n', '   26.1 %\n', '   [**2113-2-8**] 02:50 AM\n', '   Current diet order / nutrition support: Replete with fiber Full\n', '   strength;\n', '   Starting rate: 40 ml/hr; Advance rate by 20 ml q6h Goal rate: 70 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   Flush w/ 30 ml water q8h\n', '   GI: Abdominal: Soft, Non-distended, Non-tender, Bowel sounds present,\n', '   PEG site clean and dry.\n', '   Assessment of Nutritional Status\n', '   49 year old male s/p  PEG placement yesterday, tube feed started\n', '   yesterday, tolerated Isosource 1.5 well, tube feed ordered changed to\n', '   Replete with fiber this morning, spoke to team, does not want patient\n', '   on special tube feed, recommend change to Fibersource HN as current\n', '   formula provides excess amount of protein. Noted discharge planning in\n', '   progress.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Tube feeding: Fibersource HN goal 60ml/hr ( 1728kcal/76g\n', '   protein)\n', '          Check chemistry 10 panel daily, replete prn\n', '          Continue BS management\n', '          [**Numeric Identifier 943**] if has question\n', '"\n', '40461,Nutrition,"Subjective\n', '   Patient asleep.\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   70.8 kg ([**2113-2-7**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: Multiple Vitamins, Furosemide, Docusate Sodium,\n', '   others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   157 mg/dL\n', '   [**2113-2-7**] 04:00 AM\n', '   Glucose Finger Stick\n', '   158\n', '   [**2113-2-7**] 06:00 AM\n', '   BUN\n', '   33 mg/dL\n', '   [**2113-2-7**] 04:00 AM\n', '   Creatinine\n', '   1.9 mg/dL\n', '   [**2113-2-7**] 04:00 AM\n', '   Sodium\n', '   145 mEq/L\n', '   [**2113-2-7**] 04:00 AM\n', '   Potassium\n', '   3.7 mEq/L\n', '   [**2113-2-7**] 04:00 AM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2113-2-7**] 04:00 AM\n', '   TCO2\n', '   24 mEq/L\n', '   [**2113-2-7**] 04:00 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.2 g/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Calcium non-ionized\n', '   7.8 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Phosphorus\n', '   4.0 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Ionized Calcium\n', '   1.08 mmol/L\n', '   [**2113-1-30**] 11:46 AM\n', '   Magnesium\n', '   2.0 mg/dL\n', '   [**2113-2-6**] 11:00 PM\n', '   ALT\n', '   21 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Alkaline Phosphate\n', '   50 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   AST\n', '   23 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Amylase\n', '   45 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   12.3 K/uL\n', '   [**2113-2-7**] 04:00 AM\n', '   Hgb\n', '   8.8 g/dL\n', '   [**2113-2-7**] 04:00 AM\n', '   Hematocrit\n', '   26.9 %\n', '   [**2113-2-7**] 04:00 AM\n', '   Current diet order / nutrition support: Non-Standard TPN  For Date:\n', '   [**2113-2-6**]  (1600ml, 270drextrose/80protein/35fat)\n', '   Replete with fiber Full strength;\n', '   Starting rate: 10 ml/hr; Advance rate by 10 ml q6h Goal rate: 60 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   Flush w/ 30 ml water q8h\n', '   GI: Abdominal: Soft, Non-distended, Non-tender, Bowel sounds present,\n', '   PEG site clean and dry. Peg to gravity drainage\n', '   Assessment of Nutritional Status\n', '   49 year old male with Mitral valve endocarditis, preop stroke s/p MVR\n', '   and debridement of aortic valve [**1-27**], patient failed S & S evaluation,\n', '   TPN started over the weekend while awaiting PEG.    PEG placed\n', '   yesterday, plan to start tube feeds today, current tube feed order not\n', '   meeting patient\n', 's estimated need.  Noted patient with post op fluid\n', '   gain, recommend fluid restricted formula.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Consider ordering day 1 TPN tonight while slowly advancing\n', '   tube feed\n', '          Tube feeding: Isosource 1.5cal goal 45ml/hr ( 1620kcal/73g\n', '   protein)\n', '          Start tube feed at 15ml/hr and adv slowly as tol\n', '          Check chemistry 10 panel daily, replete prn\n', '          Continue BS management\n', '          [**Numeric Identifier 943**] if has question\n', '"\n', '40461,Nutrition,"Subjective\n', '   patient sleeping\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   74.9 kg ([**2113-2-3**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: D5 @10 ml/hr, KCl (40 mEq repletion), RISS, IV\n', '   abx, lansoprazole, famotidine, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   73\n', '   [**2113-2-4**] 12:00 PM\n', '   Glucose Finger Stick\n', '   135\n', '   [**2113-2-4**] 12:00 AM\n', '   BUN\n', '   25 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Creatinine\n', '   1.6 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Sodium\n', '   140 mEq/L\n', '   [**2113-2-4**] 03:42 AM\n', '   Potassium\n', '   3.5 mEq/L\n', '   [**2113-2-4**] 03:42 AM\n', '   Chloride\n', '   108 mEq/L\n', '   [**2113-2-4**] 03:42 AM\n', '   TCO2\n', '   22 mEq/L\n', '   [**2113-2-4**] 03:42 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.1 g/dL\n', '   [**2113-2-1**] 02:44 PM\n', '   Calcium non-ionized\n', '   7.3 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Phosphorus\n', '   3.1 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Ionized Calcium\n', '   1.08 mmol/L\n', '   [**2113-1-30**] 11:46 AM\n', '   Magnesium\n', '   2.0 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   ALT\n', '   23 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Alkaline Phosphate\n', '   51 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   AST\n', '   24 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Amylase\n', '   40 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Total Bilirubin\n', '   0.3 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   13.4 K/uL\n', '   [**2113-2-4**] 03:42 AM\n', '   Hgb\n', '   9.8 g/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Hematocrit\n', '   29.7 %\n', '   [**2113-2-4**] 03:42 AM\n', '   Current diet order / nutrition support: NPO\n', '   GI: soft, hypoactive bowel sounds\n', '   Assessment of Nutritional Status\n', '   Specifics: Patient s/p video swallow [**2-3**] which recommended patient be\n', '   NPO. Received consult for PPN recommendations. Per discussion with PA,\n', '   plan is for PEG placement on Monday and to supplement nutrition with\n', '   parenteral nutrition until PEG is able to be used. Patient with PICC,\n', '   Day 1 TPN ordered to start tonight. NGT was attempted earlier in week\n', '   and was unable to placed and team thinks patient would pull it out.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   1.       Day 1 TPN tonight\n', '   2.       Pending glycemic control advance to goal TPN 1.6L (270 g\n', '   dextrose/80 g amino acids/35 g lipids)= 1588 kcals\n', '   3.       Check TG hold lipids if greater than 400\n', '   4.       Once PEG placed start with Isosource HN @ 15 ml/hr advance to\n', '   goal of 45 ml/hr = 1620 kcals/ 73 g protein\n', '   5.       Will follow page [**Numeric Identifier 1372**] with questions\n', '"\n', '40461,Nutrition,"Subjective\n', '   Patient asleep, [**Name8 (MD) 77**] RN, patient refused all po food or supplements.\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   70.5 kg ([**2113-1-19**] 08:00 AM)\n', '   up due to fluid\n', '   19.9\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   75.3 kg\n', '   119%\n', '   63 kg\n', '   100%\n', '   Diagnosis: MITRAL VALVE ENDOCARDITIS\n', '   PMHx: None - no medical care x 30 years\n', '   Food allergies and intolerances:  not available\n', '   Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine,\n', '   FoLIC Acid, Nicotine Patch, Heparin, Docusate Sodium , Nafcillin,\n', '   Potassium Chloride, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   117 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   BUN\n', '   25 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Creatinine\n', '   1.5 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Potassium\n', '   3.3 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Chloride\n', '   103 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   TCO2\n', '   22 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   PO2 (venous)\n', '   145 mm Hg\n', '   [**2113-1-15**] 04:51 PM\n', '   PCO2 (venous)\n', '   34 mm Hg\n', '   [**2113-1-15**] 04:51 PM\n', '   pH (venous)\n', '   7.45 units\n', '   [**2113-1-15**] 04:51 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-18**] 12:03 PM\n', '   CO2 (Calc) venous\n', '   24 mEq/L\n', '   [**2113-1-15**] 04:51 PM\n', '   Albumin\n', '   1.9 g/dL\n', '   [**2113-1-18**] 07:15 AM\n', '   Calcium non-ionized\n', '   7.1 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Phosphorus\n', '   4.8 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Magnesium\n', '   1.9 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   ALT\n', '   36 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Alkaline Phosphate\n', '   44 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   AST\n', '   54 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   WBC\n', '   13.0 K/uL\n', '   [**2113-1-20**] 02:36 AM\n', '   Hgb\n', '   11.8 g/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Hematocrit\n', '   35.2 %\n', '   [**2113-1-20**] 02:36 AM\n', '   Current diet order / nutrition support: Regular; Supplement: Ensure\n', '   Plus breakfast, lunch, dinner\n', '   GI: Abdominal: Soft, Non-tender, Bowel sounds present\n', '   Extremities: Right lower extremity edema: Absent, Left lower extremity\n', '   edema\n', '   Skin:  Warm, Rash: upper and lower ext, occ petechiae\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', 'Patient at risk due to:  Low po intake, current illness,  head CT showed multipl\n', 'e small non-hemorrhagic\n', '   infarcts suspicious for septic emboli,\n', '   Estimated Nutritional Needs\n', '   Calories: 1575-1764 (BEE x  or / 25-28 cal/kg)\n', '   Protein: 76-88 (1.2-1.4 g/kg)\n', '   Fluid: per team\n', '   Calculations based on: Admit weight\n', '   Estimation of previous intake: Inadequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   49 year old male found to have staphylococcus aureus bacterial\n', '   endocarditis with severe mitral regurgitation [**3-21**] mitral valve\n', '   vegetations and flail leaflet.  Patient transferred from [**Hospital **] [**Hospital1 5**] for CT surgery evaluation and further  management.\n', '   Patient s/p speech and swallow evaluation, okay to have regular diet,\n', '   yet patient refused to take pos. spoke to team this morning, team\n', '   considering NGT placement.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Po as tolerance\n', '          Tube feeding recommendations: Nutren Pulmonary goal 45ml/hr\n', '   (1620kcal/73.4g protein)\n', '          Monitor tube feed tolerance\n', '          Check chemistry 10 panel daily, replete as you are doing\n', '          Consider adding phos binder if serum phos remains elevated\n', '          Start regular insulin sliding scale if serum glucose greater\n', '   than 150 mg/dL\n', '          Other: [**Numeric Identifier 943**] if has question\n', '"\n', '40461,Nutrition,"Subjective\n', '   Patient asleep, [**Name8 (MD) 77**] RN, patient refused all po food or supplements.\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   70.5 kg ([**2113-1-19**] 08:00 AM)\n', '   up due to fluid\n', '   19.9\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   75.3 kg\n', '   119%\n', '   63 kg\n', '   100%\n', '   Diagnosis: MITRAL VALVE ENDOCARDITIS\n', '   PMHx: None - no medical care x 30 years\n', '   Food allergies and intolerances:  not available\n', '   Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine,\n', '   FoLIC Acid, Nicotine Patch, Heparin, Docusate Sodium , Nafcillin,\n', '   Potassium Chloride, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   117 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   BUN\n', '   25 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Creatinine\n', '   1.5 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Potassium\n', '   3.3 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Chloride\n', '   103 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   TCO2\n', '   22 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   PO2 (venous)\n', '   145 mm Hg\n', '   [**2113-1-15**] 04:51 PM\n', '   PCO2 (venous)\n', '   34 mm Hg\n', '   [**2113-1-15**] 04:51 PM\n', '   pH (venous)\n', '   7.45 units\n', '   [**2113-1-15**] 04:51 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-18**] 12:03 PM\n', '   CO2 (Calc) venous\n', '   24 mEq/L\n', '   [**2113-1-15**] 04:51 PM\n', '   Albumin\n', '   1.9 g/dL\n', '   [**2113-1-18**] 07:15 AM\n', '   Calcium non-ionized\n', '   7.1 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Phosphorus\n', '   4.8 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Magnesium\n', '   1.9 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   ALT\n', '   36 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Alkaline Phosphate\n', '   44 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   AST\n', '   54 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   WBC\n', '   13.0 K/uL\n', '   [**2113-1-20**] 02:36 AM\n', '   Hgb\n', '   11.8 g/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Hematocrit\n', '   35.2 %\n', '   [**2113-1-20**] 02:36 AM\n', '   Current diet order / nutrition support: Regular; Supplement: Ensure\n', '   Plus breakfast, lunch, dinner\n', '   GI: Abdominal: Soft, Non-tender, Bowel sounds present\n', '   Extremities: Right lower extremity edema: Absent, Left lower extremity\n', '   edema\n', '   Skin:  Warm, Rash: upper and lower ext, occ petechiae\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', 'Patient at risk due to:  Low po intake, current illness,  head CT showed multipl\n', 'e small non-hemorrhagic\n', '   infarcts suspicious for septic emboli,\n', '   Estimated Nutritional Needs\n', '   Calories: 1575-1764 (BEE x  or / 25-28 cal/kg)\n', '   Protein: 76-88 (1.2-1.4 g/kg)\n', '   Fluid: per team\n', '   Calculations based on: Admit weight\n', '   Estimation of previous intake: Inadequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   49 year old male found to have staphylococcus aureus bacterial\n', '   endocarditis with severe mitral regurgitation [**3-21**] mitral valve\n', '   vegetations and flail leaflet.  Patient transferred from [**Hospital **] [**Hospital1 5**] for CT surgery evaluation and further  management.\n', '   Patient s/p speech and swallow evaluation, okay to have regular diet,\n', '   yet patient refused to take pos. spoke to team this morning, team\n', '   considering NGT placement.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Po as tolerance\n', '          Tube feeding recommendations: Nutren Pulmonary goal 45ml/hr\n', '   (1620kcal/73.4g protein)\n', '          Monitor tube feed tolerance\n', '          Check chemistry 10 panel daily, replete as you are doing\n', '          Consider adding phos binder if serum phos remains elevated\n', '          Start regular insulin sliding scale if serum glucose greater\n', '   than 150 mg/dL\n', '          Other: [**Numeric Identifier 943**] if has question\n', '   ------ Protected Section ------\n', '   Cardiology Teaching Physician Note\n', '   On this day I saw, examined and was physically present with the\n', '   resident / fellow for the key portions of the services provided. I\n', '   agree with the above note and plans.\n', '   I would add the following remarks:\n', '   Medical Decision Making\n', '   Patient slowly improving the am after aggressive diuresis and\n', '   initiation of Milrinone. He is less dyspneic and saturations are in the\n', '   95-96% range. Renal service feels ARF is multifactorial and sediment is\n', '   c/w ATM. Createnine is stable today at 1.5. He is speaking clearly but\n', '   somnolent and wife, [**Name (NI) 1880**], feels this is from not sleeping last night.\n', '   WBC down to 13K from 14K yesterday. ID recommends continuing Nafcillin\n', '   with bllod cultures with fever spikes. Source of fevers are unclear now\n', '   and we may need to image his abdomen as he complains of intermittent\n', '   abdominal pain. C-[**Doctor First Name 91**] continues to follow closely and would like to\n', '   delay surgery for as long as possible.\n', '   ------ Protected Section Addendum Entered By:[**Name (NI) **] [**Last Name (NamePattern1) **], MD\n', '   on:[**2113-1-20**] 05:48 PM ------\n', '"\n', '40461,Nutrition,"Subjective:  Did not speak with patient.\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   72 kg ([**2113-1-22**] 10:00 AM)\n', '   19.9\n', '   Pertinent medications: Milrinone, protonix, abx, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   98 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   BUN\n', '   27 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Creatinine\n', '   1.0 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Potassium\n', '   4.3 mEq/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Chloride\n', '   107 mEq/L\n', '   [**2113-1-22**] 05:17 AM\n', '   TCO2\n', '   19 mEq/L\n', '   [**2113-1-22**] 05:17 AM\n', '   PO2 (arterial)\n', '   61 mm Hg\n', '   [**2113-1-22**] 12:22 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   31 mm Hg\n', '   [**2113-1-22**] 12:22 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.37 units\n', '   [**2113-1-22**] 12:22 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-20**] 06:24 PM\n', '   CO2 (Calc) arterial\n', '   19 mEq/L\n', '   [**2113-1-22**] 12:22 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.1 g/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Calcium non-ionized\n', '   7.6 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Phosphorus\n', '   3.8 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Magnesium\n', '   2.0 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   ALT\n', '   27 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Alkaline Phosphate\n', '   50 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   AST\n', '   27 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Total Bilirubin\n', '   0.3 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   WBC\n', '   20.7 K/uL\n', '   [**2113-1-22**] 05:17 AM\n', '   Hgb\n', '   12.9 g/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Hematocrit\n', '   39.5 %\n', '   [**2113-1-22**] 05:17 AM\n', '   Current diet order / nutrition support: Diet: Regular/ heart healthy,\n', '   with ensure plus TID\n', '   GI: abd soft, bowel sounds present\n', '   Assessment of Nutritional Status\n', '   49 year old male found to have staphylococcus aureus bacterial\n', '   endocarditis with severe mitral regurgitation [**3-21**] mitral valve\n', '   vegetations and flail leaflet.  Patient transferred from [**Hospital **] to [**Hospital1 5**] for CT surgery evaluation and further  management.\n', '   Patient s/p speech and swallow evaluation, okay to have regular diet,\n', '   yet patient is only taking small amounts of po\n', 's due to mental status.\n', '    Team is planning to place an NGT for start of tube feeds.  Tube\n', '   feeding are recommendations below; these can be adjusted based on\n', '   amount of po\n', 's patient is taking.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          To meet 100% of estimated needs, recommend Nutren Pulmonary\n', '   @ 45mL/hr (1620kcals, 73g protein)\n', '          Will monitor po intake and mental status and adjust tube\n', '   feeds as needed.\n', '          Following g- #[**Numeric Identifier 1312**]\n', '"\n', '40461,Nutrition,"Subjective\n', '   intub\n', '   Objective\n', '   Pertinent medications: Multivitamins, FoLIC Acid , Pantoprazole,\n', '   Potassium Chloride, Norepinephrine drip, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   106 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   BUN\n', '   15 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Creatinine\n', '   1.1 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Sodium\n', '   140 mEq/L\n', '   [**2113-1-25**] 03:36 AM\n', '   Potassium\n', '   3.7 mEq/L\n', '   [**2113-1-25**] 03:36 AM\n', '   Chloride\n', '   108 mEq/L\n', '   [**2113-1-25**] 03:36 AM\n', '   TCO2\n', '   26 mEq/L\n', '   [**2113-1-25**] 03:36 AM\n', '   PO2 (arterial)\n', '   108 mm Hg\n', '   [**2113-1-25**] 03:53 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   53 mm Hg\n', '   [**2113-1-25**] 03:53 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.32 units\n', '   [**2113-1-25**] 03:53 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-25**] 02:26 PM\n', '   CO2 (Calc) arterial\n', '   29 mEq/L\n', '   [**2113-1-25**] 03:53 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.1 g/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Calcium non-ionized\n', '   7.4 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Phosphorus\n', '   3.5 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Magnesium\n', '   1.6 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   ALT\n', '   27 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Alkaline Phosphate\n', '   50 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   AST\n', '   27 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Amylase\n', '   25 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Total Bilirubin\n', '   0.3 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   11.4 K/uL\n', '   [**2113-1-25**] 03:36 AM\n', '   Hgb\n', '   9.6 g/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Hematocrit\n', '   30.3 %\n', '   [**2113-1-25**] 03:36 AM\n', '   Current diet order / nutrition support: Nutren Pulmonary Full strength;\n', '   Additives: Banana flakes, 3 packets per day\n', '   Starting rate: 10 ml/hr; Advance rate by 10 ml q4h Goal rate: 45 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   Flush w/ 100 ml water q8h ( not running since 8 am this morning)\n', '   NPO for Procedure Start: After 12:01AM Procedure: CSURG on date\n', '   [**2113-1-26**]\n', '   Do NOT resume diet after procedure.\n', '   GI: Abd: soft, ND, NT, NBS\n', '   Ext: 2+ pulses, 2+ edema in lower extremtiies R>L\n', '   Assessment of Nutritional Status\n', '    49 year old male found to have staphlyococcus aureus bacterial\n', '   endocarditis with severe mitral regurgitation [**3-21**] mitral valve\n', '   vegetations and flail leaflet, patient pending OR tomorrow for AVR and\n', '   MVR with debridement of the epidural abscess.  Patient received minimal\n', '   nutrition since admission (had <24hours tube feed from 12/7-8), at very\n', '   high risk for malnutrition, recommend closely monitor post cardiac\n', '   surgery, may need to restart tube feed as patient was refusing all po\n', '   food this admission.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Multivitamin / Mineral supplement: discontinue outside order\n', '   if tube feed restarts\n', '          Tube feeding recommendations: restart tube feed as ordered\n', '          Check chemistry 10 panel daily, replete as you are doing\n', '          Start regular insulin sliding scale if serum glucose greater\n', '   than 150 mg/dL\n', '          Other: [**Numeric Identifier 943**] if has question\n', '"\n', '40461,Nutrition,"Ht: 70\n', '   Wt: 57.8 kg\n', '   IBW: 75.3 kg/ 77%\n', '   BMI: 18.2\n', '   Pmh: Diabetes,Dyslipidemia,Hypertension, [**1-25**] multiple embolic events\n', '   worst is large left posterior cerebral artery infarct(neurologic\n', '   deficits including left sided facial droop, right sided neglect, right\n', '   sided hemiparesis, expressive aphasia),\n', '   MVR(29mm St. [**Male First Name (un) 1104**] Mechanical Valve) with Debridement of Aortic Valve.\n', '   Teeth extraction [**2113-1-23**].\n', '   Diet Order: regular\n', '    49 year old male was in rehab s/p M.  Patient admitted to outside\n', '   hospital CT showed depressed fx of right frontal sinus. Patient\n', '   transferred\n', '   Potential for nutrition risk. Patient being monitored. Current\n', '   intervention if any, listed below:\n', '   Comments:\n', '"\n', '40461,Nutrition,"Ht: 70\n', '   Wt: 57.8 kg\n', '   IBW: 75.3 kg/ 77%\n', '   BMI: 18.2\n', '   Pmh: Diabetes,Dyslipidemia,Hypertension, [**1-25**] multiple embolic events\n', '   worst is large left posterior cerebral artery infarct(neurologic\n', '   deficits including left sided facial droop, right sided neglect, right\n', '   sided hemiparesis, expressive aphasia),\n', '   MVR(29mm St. [**Male First Name (un) 1104**] Mechanical Valve) with Debridement of Aortic Valve.\n', '   Teeth extraction [**2113-1-23**].\n', '   Diet Order: regular\n', '   49 year old male  on coumadin for a prosthetic mitral valve after\n', '   having Staphylococcal endocarditis of MV and AV, c/b multiple embolic\n', '   strokes admitted from rehab s/p fall. Patient tolerating diet no nausea\n', '   or vomiting. Patient reports much better po intake since admit to\n', '   [**Hospital1 5**]. Patient unsure of wt loss PTA and unsure of usual body wt. Will\n', '   add supplements to increase caloric intake.\n', '   Recommendations:\n', '   1.       Encourage pos and supplements\n', '   2.       Will add ensure TID\n', '   3.       Will follow page [**Numeric Identifier 1372**] with questions\n', '"\n', '40461,Nutrition,"Subjective\n', '   oriented x 1\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   72 kg ([**2113-2-1**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: Ranitidine, ABX, Folic Acid, Thiamine,\n', '   Multi-vitamin, lasix, Colace (Held), KCl (20mEq repletion x3)\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   108 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Glucose Finger Stick\n', '   124\n', '   [**2113-2-1**] 12:00 AM\n', '   BUN\n', '   28 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Creatinine\n', '   2.0 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Sodium\n', '   139 mEq/L\n', '   [**2113-2-1**] 03:30 AM\n', '   Potassium\n', '   3.7 mEq/L\n', '   [**2113-2-1**] 03:30 AM\n', '   Chloride\n', '   105 mEq/L\n', '   [**2113-2-1**] 03:30 AM\n', '   TCO2\n', '   23 mEq/L\n', '   [**2113-2-1**] 03:30 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.2 g/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Calcium non-ionized\n', '   7.6 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Phosphorus\n', '   4.6 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Ionized Calcium\n', '   1.08 mmol/L\n', '   [**2113-1-30**] 11:46 AM\n', '   Magnesium\n', '   2.2 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   ALT\n', '   20 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Alkaline Phosphate\n', '   57 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   AST\n', '   26 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Amylase\n', '   17 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   18.2 K/uL\n', '   [**2113-2-1**] 03:30 AM\n', '   Hgb\n', '   10.4 g/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Hematocrit\n', '   31.5 %\n', '   [**2113-2-1**] 03:30 AM\n', '   Current diet order / nutrition support: Diet: Ground solids, thin\n', '   liquids; Ensure Pudding and Carnation Instant Breakfast with meals;\n', '   calorie counts [**2-1**], [**2-2**], [**2-3**]\n', '   GI: soft, (+) bowel sounds; green liquid stool\n', '   Assessment of Nutritional Status\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   Patient s/p MVR / AVR [**1-27**].  Extubated [**1-30**].  Seen by SLP [**1-31**] who\n', '   recommended above altered consistency diet with 1:1 supervision.  [**Name8 (MD) **]\n', '   RN, patient took Ensure pudding and some Carnation Instant Breakfast\n', '   shake this AM with a lot of encouragement.  Patient takes very small\n', '   bites and is a picky eater.  RN reports wife to bring in a list of\n', '   foods that patient likes.  Calorie counts starting today.  Concerned\n', '   with nutrition status given poor po\n', 's during admit (refusing po\n', 's at\n', '   times), only received tube feed briefly on/off and recent surgery.\n', '   Would strongly recommend supplemental tube feed to optimize nutrition\n', '   for post-op recovery.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Current diet / nutrition support is appropriate:\n', '   Encourage/assist with po\n', '   o         Encourage wife to bring in food preference list or food\n', '   o         Calorie counts\n', ' please record on kitchen receipt percent\n', '   eaten\n', '          Oral supplements: Continue as ordered\n', '          Multivitamin / Mineral supplement: continue current\n', '          Tube feeding recommendations:\n', '   o         Consider placing NGT and beginning tube feeds to supplement\n', '   poor po\n', '   o         Tube feed goal would be: Nutren Pulmonary @ 45ml/hr = 1620\n', '   calories and 73g protein\n', '          Check chemistry 10 panel daily\n', '   Will follow, page if questions *[**Numeric Identifier 606**]\n', '"\n', '40461,Nutrition,"Subjective\n', '   just extubated\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   76.2 kg ([**2113-1-30**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: Multivitamins, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   106 mg/dL\n', '   [**2113-1-30**] 07:59 AM\n', '   Glucose Finger Stick\n', '   93\n', '   [**2113-1-29**] 06:00 PM\n', '   BUN\n', '   20 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Creatinine\n', '   1.6 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Potassium\n', '   3.5 mEq/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Chloride\n', '   104 mEq/L\n', '   [**2113-1-30**] 03:25 AM\n', '   TCO2\n', '   22 mEq/L\n', '   [**2113-1-30**] 03:25 AM\n', '   PO2 (arterial)\n', '   85.[**Numeric Identifier 299**] mm Hg\n', '   [**2113-1-30**] 09:19 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   33 mm Hg\n', '   [**2113-1-30**] 09:19 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.41 units\n', '   [**2113-1-30**] 09:19 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-25**] 02:26 PM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-30**] 09:19 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.2 g/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Calcium non-ionized\n', '   8.4 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Phosphorus\n', '   5.2 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Ionized Calcium\n', '   1.09 mmol/L\n', '   [**2113-1-30**] 07:59 AM\n', '   Magnesium\n', '   2.1 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   ALT\n', '   20 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Alkaline Phosphate\n', '   57 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   AST\n', '   26 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Amylase\n', '   17 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   11.5 K/uL\n', '   [**2113-1-30**] 03:25 AM\n', '   Hgb\n', '   10.3 g/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Hematocrit\n', '   30.1 %\n', '   [**2113-1-30**] 03:25 AM\n', '   Current diet order / nutrition support: Nutren Pulmonary Full strength;\n', '   Starting rate: 10 ml/hr; Advance rate by 10 ml q4h Goal rate: 50 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   Flush w/ 30 ml water q4h ( not running)\n', '   GI: soft, flesiseal in place\n', '   SKIN: stage 2 wounds\n', '   Assessment of Nutritional Status\n', '   49 year old male admitted on [**1-15**] with endocarditis s/p MVR and aortic\n', '   valve debridement on [**1-27**], patient extubated this morning.  Patient\n', '   well known to me from CCU, patient with minimal nutrition since\n', '   hospital admission (previously refused po food and nutrition\n', '   supplements in the ccu, received 1 day of tube feed prior to OR.\n', '   Patient at very high risk for malnutrition, highly recommend replace\n', '   feeding tube, restart tube feed as temporary nutrition support for post\n', '   op recovery.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Adv diet if remains medically stable\n', '          Continue tube feed as supplemental nutrition support: goal\n', '   Nutren Pulmonary goal 45ml/hr to provide 1620kcal/73.4g protein\n', '           Phos binder if serum phos remains elevated\n', '          Check chemistry 10 panel daily, replete prn\n', '          BS management\n', '          Other: [**Numeric Identifier 943**]\n', '"\n']
2136
In [23]:
doc = []
for i in range(len(notes)):
  doc.append(nlp(notes[i]))
  print(doc[-1])
  print('*************************************************************************************************************')
SUBJECT_ID,CATEGORY,TEXT

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17610,Nutrition,"Patient transferred to MICU for concern for aspiration.  Diet changed

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   to NPO; NGT in for medication.  Noted plan to transition to comfort

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   focused care.

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   Will sign off at this time.  Please consult if needed. Pager *[**Numeric Identifier 5307**]

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"

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40493,Nutrition,"Objective

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   Pertinent medications: RISS, SS lytes, thiamin, folate, lasix, bowel

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   regimen, MOM, reglan, others noted

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   Labs:

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   Value

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   Date

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   Glucose

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   93 mg/dL

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   [**2172-11-9**] 01:50 AM

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   Glucose Finger Stick

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   120

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   [**2172-11-9**] 08:57 AM

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   BUN

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   15 mg/dL

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   [**2172-11-9**] 01:50 AM

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   Creatinine

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   0.6 mg/dL

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   [**2172-11-9**] 01:50 AM

*************************************************************************************************************
   Sodium

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   137 mEq/L

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   [**2172-11-9**] 01:50 AM

*************************************************************************************************************
   Potassium

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   3.9 mEq/L

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   [**2172-11-9**] 01:50 AM

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   Chloride

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   106 mEq/L

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   [**2172-11-9**] 01:50 AM

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   TCO2

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   24 mEq/L

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   [**2172-11-9**] 01:50 AM

*************************************************************************************************************
   PO2 (arterial)

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   66 mm Hg

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   [**2172-11-9**] 08:57 AM

*************************************************************************************************************
   PCO2 (arterial)

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   41 mm Hg

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   [**2172-11-9**] 08:57 AM

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   pH (arterial)

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   7.42 units

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   [**2172-11-9**] 08:57 AM

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   pH (urine)

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   5.0 units

*************************************************************************************************************
   [**2172-11-1**] 06:06 PM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   28 mEq/L

*************************************************************************************************************
   [**2172-11-9**] 08:57 AM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.6 g/dL

*************************************************************************************************************
   [**2172-11-3**] 02:24 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   8.7 mg/dL

*************************************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   4.5 mg/dL

*************************************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.11 mmol/L

*************************************************************************************************************
   [**2172-11-5**] 01:34 PM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.2 mg/dL

*************************************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************************************
   Current diet order / nutrition support: Fibersource HN@60mL/hr (1728

*************************************************************************************************************
   kcals/73 gr aa) not infusing

*************************************************************************************************************
   GI: Abd soft/+bs

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   Specifics:

*************************************************************************************************************
   Pt extubated earlier today.  Pt was previously tolerating TF

*************************************************************************************************************
s @ goal,

*************************************************************************************************************
   meeting 100% estimated nutrition needs.  Anticipate diet advancement as

*************************************************************************************************************
   able.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
   Advance diet per team c/ swallow eval if pt shows s/s of aspiration and

*************************************************************************************************************
   advance diet per SLP- vs place NGT and resume TF's if unable to take

*************************************************************************************************************
   po

*************************************************************************************************************
   Will follow plan -please page c/ ?'s #[**Numeric Identifier 1684**]

*************************************************************************************************************
"

*************************************************************************************************************
40493,Nutrition,"Subjective

*************************************************************************************************************
   intubated

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   168 cm

*************************************************************************************************************
   65 kg

*************************************************************************************************************
   23.1

*************************************************************************************************************
   Ideal body weight

*************************************************************************************************************
   % Ideal body weight

*************************************************************************************************************
   Adjusted weight

*************************************************************************************************************
   Usual body weight

*************************************************************************************************************
   % Usual body weight

*************************************************************************************************************
   64.4 kg

*************************************************************************************************************
   101%

*************************************************************************************************************
   Diagnosis: S/P Fall

*************************************************************************************************************
   PMH : etoh, smoker, cirrhosis

*************************************************************************************************************
   Food allergies and intolerances:  NKFA

*************************************************************************************************************
   Pertinent medications: fentanyl, LR @ 10 ml/hr, lasix, versed, RISS, IV

*************************************************************************************************************
   abx, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   155 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   151

*************************************************************************************************************
   [**2172-11-2**] 08:00 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   17 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   0.8 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   146 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.6 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   111 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   29 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   113 mm Hg

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   41 mm Hg

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.46 units

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.0 units

*************************************************************************************************************
   [**2172-11-1**] 06:06 PM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   30 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   3.0 g/dL

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   8.1 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   2.5 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.16 mmol/L

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   1.7 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   14 IU/L

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   73 IU/L

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   43 IU/L

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   3.4 mg/dL

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   23.2 K/uL

*************************************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   9.1 g/dL

*************************************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   27.2 %

*************************************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************************************
   Current diet order / nutrition support: NPO replete with fiber @ 60

*************************************************************************************************************
   ml/hr

*************************************************************************************************************
   GI: OGT

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   At risk for malnutrition

*************************************************************************************************************
   Pt at risk due to: NPO / hypocaloric diet

*************************************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************************************
   Calories: 1625-[**2114**]  (25-30 cal/kg)

*************************************************************************************************************
   Protein: 78-91 (1.2-1.4 g/kg)

*************************************************************************************************************
   Fluid: per team

*************************************************************************************************************
   Estimation of previous intake: Likely Adequate

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics: 57 year old male transferred from OSH, intubated there. Pt

*************************************************************************************************************
   S/P fall  CT shows Stage IV splenic laceration. Tolerating TF with

*************************************************************************************************************
   minimal residuals [**Name8 (MD) **] RN. Current TF provides 1440 kcals/89 g Pro.

*************************************************************************************************************
   Recommend changing TF to better meet nutritional needs.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
   1.       Check chemistry 10 panel daily

*************************************************************************************************************
   2.       Change TF to goal of Fibersource HN @ 65ml/hr (1872 kcals/83 g

*************************************************************************************************************
   Pro)

*************************************************************************************************************
   3.       Pls page with questions [**Numeric Identifier 2584**]

*************************************************************************************************************
"

*************************************************************************************************************
40493,Nutrition,"Subjective

*************************************************************************************************************
   intubated

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   168 cm

*************************************************************************************************************
   65 kg

*************************************************************************************************************
   23.1

*************************************************************************************************************
   Ideal body weight

*************************************************************************************************************
   % Ideal body weight

*************************************************************************************************************
   Adjusted weight

*************************************************************************************************************
   Usual body weight

*************************************************************************************************************
   % Usual body weight

*************************************************************************************************************
   64.4 kg

*************************************************************************************************************
   101%

*************************************************************************************************************
   Diagnosis: S/P Fall

*************************************************************************************************************
   PMH : etoh, smoker, cirrhosis

*************************************************************************************************************
   Food allergies and intolerances:  NKFA

*************************************************************************************************************
   Pertinent medications: fentanyl, LR @ 10 ml/hr, lasix, versed, RISS, IV

*************************************************************************************************************
   abx, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   155 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   151

*************************************************************************************************************
   [**2172-11-2**] 08:00 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   17 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   0.8 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   146 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.6 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   111 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   29 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   113 mm Hg

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   41 mm Hg

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.46 units

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.0 units

*************************************************************************************************************
   [**2172-11-1**] 06:06 PM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   30 mEq/L

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   3.0 g/dL

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   8.1 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   2.5 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.16 mmol/L

*************************************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   1.7 mg/dL

*************************************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   14 IU/L

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   73 IU/L

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   43 IU/L

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   3.4 mg/dL

*************************************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   23.2 K/uL

*************************************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   9.1 g/dL

*************************************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   27.2 %

*************************************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************************************
   Current diet order / nutrition support: NPO replete with fiber @ 60

*************************************************************************************************************
   ml/hr

*************************************************************************************************************
   GI: OGT

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   At risk for malnutrition

*************************************************************************************************************
   Pt at risk due to: NPO / hypocaloric diet

*************************************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************************************
   Calories: 1625-[**2114**]  (25-30 cal/kg)

*************************************************************************************************************
   Protein: 78-91 (1.2-1.4 g/kg)

*************************************************************************************************************
   Fluid: per team

*************************************************************************************************************
   Estimation of previous intake: Likely Adequate

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics: 57 year old male transferred from OSH, intubated there. Pt

*************************************************************************************************************
   S/P fall  CT shows Stage IV splenic laceration. Tolerating TF with

*************************************************************************************************************
   minimal residuals [**Name8 (MD) **] RN. Current TF provides 1440 kcals/89 g Pro.

*************************************************************************************************************
   Recommend changing TF to better meet nutritional needs.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
   1.       Check chemistry 10 panel daily

*************************************************************************************************************
   2.       Change TF to goal of Fibersource HN @ 65ml/hr (1872 kcals/83 g

*************************************************************************************************************
   Pro)

*************************************************************************************************************
   3.       Pls page with questions [**Numeric Identifier 2584**]

*************************************************************************************************************
"

*************************************************************************************************************
61565,Nutrition,"Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   88.2 kg

*************************************************************************************************************
   27.8

*************************************************************************************************************
   Ideal body weight

*************************************************************************************************************
   % Ideal body weight

*************************************************************************************************************
   Adjusted weight

*************************************************************************************************************
   Usual body weight

*************************************************************************************************************
   % Usual body weight

*************************************************************************************************************
   75.3 kg

*************************************************************************************************************
   117%

*************************************************************************************************************
   Diagnosis: Head Bleed

*************************************************************************************************************
   PMH : DM.

*************************************************************************************************************
   Food allergies and intolerances:

*************************************************************************************************************
   Pertinent medications: Esmolol, famotidine, colace, lytes ss, dilantin,

*************************************************************************************************************
   ssri, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   143 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   155

*************************************************************************************************************
   [**2100-11-1**] 02:00 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   18 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   0.8 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   142 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   4.1 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   111 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   26 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   109 mm Hg

*************************************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   38 mm Hg

*************************************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.48 units

*************************************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   29 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   3.8 g/dL

*************************************************************************************************************
   [**2100-10-30**] 03:27 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   8.9 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   2.5 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.22 mmol/L

*************************************************************************************************************
   [**2100-10-31**] 02:41 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.3 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Phenytoin (Dilantin)

*************************************************************************************************************
   10.1 ug/mL

*************************************************************************************************************
   [**2100-10-31**] 02:34 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   12.1 K/uL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   11.9 g/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   33.9 %

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Current diet order / nutrition support: Replete with fiber Full

*************************************************************************************************************
   strength; Goal rate: 65 ml/hr

*************************************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************************************
   GI:

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   At risk for malnutrition

*************************************************************************************************************
   Pt at risk due to: NPO / hypocaloric diet

*************************************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************************************
   Calories: [**2027**]-2200 (BEE x  or / 22-25 cal/kg)

*************************************************************************************************************
   Protein: 114 (1.3 g/kg)

*************************************************************************************************************
   Fluid:

*************************************************************************************************************
   Estimation of previous intake: Adequate

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics:

*************************************************************************************************************
   72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital

*************************************************************************************************************
   SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on

*************************************************************************************************************
   TF yesterday, currently tol goal TF without issue, per chart, pt with +

*************************************************************************************************************
   gag, will plan to extubate this am.  If unable to extubate, will need

*************************************************************************************************************
   to change TF to better meet pt's needs.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
   Tube feeding recommendations:

*************************************************************************************************************
   Check chemistry 10 panel daily and replete

*************************************************************************************************************
   Cont Bg management

*************************************************************************************************************
   Pplease page [**Numeric Identifier 1550**] if has ?

*************************************************************************************************************
"

*************************************************************************************************************
61565,Nutrition,"Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm est.

*************************************************************************************************************
   88.2 kg

*************************************************************************************************************
   27.8

*************************************************************************************************************
   Ideal body weight

*************************************************************************************************************
   % Ideal body weight

*************************************************************************************************************
   Adjusted weight

*************************************************************************************************************
   Usual body weight

*************************************************************************************************************
   % Usual body weight

*************************************************************************************************************
   75.3 kg

*************************************************************************************************************
   117%

*************************************************************************************************************
   Diagnosis: Head Bleed

*************************************************************************************************************
   PMH : DM, HTN

*************************************************************************************************************
   Food allergies and intolerances:

*************************************************************************************************************
   Pertinent medications: Esmolol, famotidine, colace, lytes ss, dilantin,

*************************************************************************************************************
   ssri, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   143 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   155

*************************************************************************************************************
   [**2100-11-1**] 02:00 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   18 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   0.8 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   142 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   4.1 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   111 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   26 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   109 mm Hg

*************************************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   38 mm Hg

*************************************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.48 units

*************************************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   29 mEq/L

*************************************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   3.8 g/dL

*************************************************************************************************************
   [**2100-10-30**] 03:27 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   8.9 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   2.5 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.22 mmol/L

*************************************************************************************************************
   [**2100-10-31**] 02:41 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.3 mg/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Phenytoin (Dilantin)

*************************************************************************************************************
   10.1 ug/mL

*************************************************************************************************************
   [**2100-10-31**] 02:34 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   12.1 K/uL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   11.9 g/dL

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   33.9 %

*************************************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************************************
   Current diet order / nutrition support: Replete with fiber Full

*************************************************************************************************************
   strength; Goal rate: 65 ml/hr (1560kcal/96.7g pro)

*************************************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************************************
   GI: Soft, Non-distended, Non-tender

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   At risk for malnutrition

*************************************************************************************************************
   Pt at risk due to: NPO

*************************************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************************************
   Calories: 1760-2200 (BEE x  or / 20-25 cal/kg)

*************************************************************************************************************
   Protein: 114 (1.3 g/kg)

*************************************************************************************************************
   Fluid:  per team

*************************************************************************************************************
   Estimation of previous intake: likely adequate

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics:

*************************************************************************************************************
   72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital

*************************************************************************************************************
   SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on

*************************************************************************************************************
   TF yesterday, currently tol goal TF without issue, per chart, pt with +

*************************************************************************************************************
   gag, cough, [**Last Name (LF) 1080**], [**First Name3 (LF) **] plan to extubate this am.  If unable to

*************************************************************************************************************
   extubate, will need to change TF to better meet pt's needs.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
   Tube feeding recommendations:  increase TF to Replete with Fiber goal

*************************************************************************************************************
   75ml/hr (1800kcal/112g pro)

*************************************************************************************************************
   Check chemistry 10 panel daily and replete prn

*************************************************************************************************************
   Cont Bg management

*************************************************************************************************************
   Please page [**Numeric Identifier 1550**] if has ?

*************************************************************************************************************
"

*************************************************************************************************************
61565,Nutrition,"Objective

*************************************************************************************************************
   Pertinent medications: pepcid, Heparin, docusate, Abx, RISS, others

*************************************************************************************************************
   noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   128 mg/dL

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   140

*************************************************************************************************************
   [**2100-11-4**] 08:00 PM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   18 mg/dL

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   0.7 mg/dL

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   140 mEq/L

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.9 mEq/L

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   103 mEq/L

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   28 mEq/L

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   94.[**Numeric Identifier 126**] mm Hg

*************************************************************************************************************
   [**2100-11-5**] 07:26 AM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   37 mm Hg

*************************************************************************************************************
   [**2100-11-5**] 07:26 AM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.49 units

*************************************************************************************************************
   [**2100-11-5**] 07:26 AM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   7.0 units

*************************************************************************************************************
   [**2100-11-5**] 11:05 AM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   29 mEq/L

*************************************************************************************************************
   [**2100-11-5**] 07:26 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   8.7 mg/dL

*************************************************************************************************************
   [**2100-11-4**] 02:31 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   3.0 mg/dL

*************************************************************************************************************
   [**2100-11-4**] 02:31 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.3 mg/dL

*************************************************************************************************************
   [**2100-11-4**] 02:31 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   12.2 K/uL

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   12.0 g/dL

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   33.8 %

*************************************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************************************
   Current diet order / nutrition support: Replete c/ Fiber @65mL/hr (1560

*************************************************************************************************************
   kcals/97 gr aa)

*************************************************************************************************************
   GI: Abd: soft/+bs

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics:

*************************************************************************************************************
   Pt s/p trach/PEG/and IVC filter yesterday.  TF

*************************************************************************************************************
s currently infusing @

*************************************************************************************************************
   10mL/hr. Current goal Rx will meet 88% estimated kcal and 85% estimated

*************************************************************************************************************
   aa needs therefore, will need to increase goal rate of TF

*************************************************************************************************************
s to avoid

*************************************************************************************************************
   underfeeding.  .

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
   Multivitamin / Mineral supplement: vua TF

*************************************************************************************************************
   Tube feeding recommendations: Increase TF goal rate to 75 mL/hr (1800

*************************************************************************************************************
   kcals/112 gr aa)

*************************************************************************************************************
   BG management as you are

*************************************************************************************************************
   Please page c/?'s #[**Numeric Identifier 1684**]

*************************************************************************************************************
"

*************************************************************************************************************
98851,Nutrition,"Patient has been NPO and/or on unsupplemented clear liquid diet for 1

*************************************************************************************************************
   days. If patient's diet is not able to be advanced and tolerated,

*************************************************************************************************************
   [**Street Address(1) 1511**] for nutrition support

*************************************************************************************************************
   Potential for nutrition risk. Patient being monitored. Current

*************************************************************************************************************
   intervention if any, listed below:

*************************************************************************************************************
   Comments:

*************************************************************************************************************
   Pt s/p LRRT [**4-17**], c/b hypoxia and increased O2 requirements in PACU, on

*************************************************************************************************************
   clears, tolerating well. Clinically improving, possibly transfer to

*************************************************************************************************************
   floor soon.

*************************************************************************************************************
   If unable to advance diet further in 24-48hrs, patient may benefit from

*************************************************************************************************************
   nutrition support.

*************************************************************************************************************
   Will f/u with progress, po tolerance.

*************************************************************************************************************
   Please page w/ questions #[**Numeric Identifier 1687**]

*************************************************************************************************************
   12:11

*************************************************************************************************************
"

*************************************************************************************************************
58054,Nutrition,"Comments:

*************************************************************************************************************
   Screening per hospital nutrition protocol. Noted patient is comfort

*************************************************************************************************************
   measures only.  No nutrition support indicated at this time.  Will sign

*************************************************************************************************************
   off. Please consult if needed. #[**Numeric Identifier 2337**]

*************************************************************************************************************
"

*************************************************************************************************************
99573,Nutrition,"Subjective

*************************************************************************************************************
   patient confused, unable to answer questions per chart patient had

*************************************************************************************************************
   difficulty swallowing PTA d/t damaged salivary glands from XRT

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   168 cm

*************************************************************************************************************
   98.2 kg

*************************************************************************************************************
   34.9

*************************************************************************************************************
   Ideal body weight

*************************************************************************************************************
   % Ideal body weight

*************************************************************************************************************
   Adjusted weight

*************************************************************************************************************
   Usual body weight

*************************************************************************************************************
   % Usual body weight

*************************************************************************************************************
   59 kg

*************************************************************************************************************
   166%

*************************************************************************************************************
   68.8 kg

*************************************************************************************************************
   Diagnosis: facial fx

*************************************************************************************************************
   PMH : breast ca, tongue ca, ovarian ca, polymyalgia, NIDDM, vertigo, hx

*************************************************************************************************************
   of falls

*************************************************************************************************************
   Food allergies and intolerances:  none noted

*************************************************************************************************************
   Pertinent medications: RISS, IV abx, protonix, KCl (30 mEq), Dextrose

*************************************************************************************************************
   5% 1/2 normal saline with KCl, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   206

*************************************************************************************************************
   [**2181-6-5**] 08:00 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   222

*************************************************************************************************************
   [**2181-6-4**] 08:00 PM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   11 mg/dL

*************************************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   0.5 mg/dL

*************************************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   134 mEq/L

*************************************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   4.1 mEq/L

*************************************************************************************************************
   [**2181-6-5**] 09:13 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   98 mEq/L

*************************************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   26 mEq/L

*************************************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   6.5 units

*************************************************************************************************************
   [**2181-6-3**] 12:30 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   8.5 mg/dL

*************************************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   2.3 mg/dL

*************************************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.0 mg/dL

*************************************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   9.2 K/uL

*************************************************************************************************************
   [**2181-6-5**] 12:03 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   10.9 g/dL

*************************************************************************************************************
   [**2181-6-5**] 12:03 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   32.7 %

*************************************************************************************************************
   [**2181-6-5**] 12:03 AM

*************************************************************************************************************
   Current diet order / nutrition support: NPO

*************************************************************************************************************
   GI: obese, + bowel sounds

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   Obese, At risk for malnutrition

*************************************************************************************************************
   Pt at risk due to: NPO / hypocaloric diet, trauma

*************************************************************************************************************
   Estimated Nutritional Needs based on adjusted body wt

*************************************************************************************************************
   Calories: 1513-1720 (22-25 cal/kg)

*************************************************************************************************************
   Protein: 83-103 (1.2-1.5 g/kg)

*************************************************************************************************************
   Fluid: per team

*************************************************************************************************************
   Estimation of previous intake: unknown

*************************************************************************************************************
   Estimation of current intake: Inadequate d/t NPO status

*************************************************************************************************************
   Specifics: 78 year old female admitted from outside hospital S/P fall

*************************************************************************************************************
   at home with multiple injuries including Le Forte fx, multiple sinus

*************************************************************************************************************
   fx, orbital fx, facial and tongue swelling. Patient seen by SLP on [**6-4**]

*************************************************************************************************************
   who recommended patient remain NPO. If patient

*************************************************************************************************************
s diet cannot be

*************************************************************************************************************
   advanced consider initiating tube feedings to prevent further

*************************************************************************************************************
   nutritional decline.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
   If diet cannot be advanced recommend starting tube feedings start with

*************************************************************************************************************
   Replete with Fiber @ 15 ml/hr advance to goal of 65 ml/hr =1560

*************************************************************************************************************
   kcals/97 g protein

*************************************************************************************************************
   Check residuals q 4-6 hours hold if greater than 150 cc

*************************************************************************************************************
   Monitor lytes and glucose with initiation of tube feeding

*************************************************************************************************************
   Change to non-dextrose IV fluids once tube feedings started

*************************************************************************************************************
   Implement any SLP recs

*************************************************************************************************************
   Will continue to follow page [**Numeric Identifier 1372**] with questions

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   oriented x1

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   74.9 kg ([**2113-2-3**] 04:00 AM)

*************************************************************************************************************
   19.9

*************************************************************************************************************
   Pertinent medications: Ranitidine, Multi-vitamin, ABX, Folic Acid,

*************************************************************************************************************
   Thiamine, Coumadin, Lasix, Colace (held), KCl (20mEq repletion x2),

*************************************************************************************************************
   Magnesium sulfate (2g repletion), Heparin drip

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   105 mg/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   127

*************************************************************************************************************
   [**2113-2-3**] 12:00 PM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   25 mg/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   1.8 mg/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   142 mEq/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.9 mEq/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   110 mEq/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   25 mEq/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   65 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   48 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   30 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.46 units

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.43 units

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.5 units

*************************************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.1 g/dL

*************************************************************************************************************
   [**2113-2-1**] 02:44 PM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.5 mg/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   3.0 mg/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.08 mmol/L

*************************************************************************************************************
   [**2113-1-30**] 11:46 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.3 mg/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   23 IU/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   51 IU/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   24 IU/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Amylase

*************************************************************************************************************
   40 IU/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.3 mg/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Triglyceride

*************************************************************************************************************
   120 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   9.3 K/uL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   8.9 g/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   27.0 %

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Current diet order / nutrition support: Diet: NPO

*************************************************************************************************************
   Calorie counts: [**2-1**] - 17 - 18

*************************************************************************************************************
   GI: soft, (+) bowel sounds; 500ml stool today

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics:

*************************************************************************************************************
   49 year old male with mitral valve endocarditis, preop stroke s/p MVR

*************************************************************************************************************
   (29mm [**First Name8 (NamePattern2) **] [**First Name4 (NamePattern1) 1104**] [**Last Name (NamePattern1) 1105**]) debridement of aortic valve [**1-27**].  Patient with

*************************************************************************************************************
   prolonged poor po

*************************************************************************************************************
s during admit.  Was on ground solids + thin liquid

*************************************************************************************************************
   diet, refusing po

*************************************************************************************************************
s at times.  s/p calories counts

*************************************************************************************************************
 880 calories [**2-1**]

*************************************************************************************************************
   and 270 calories [**2-2**].  Seen for video swallow evaluation this AM

*************************************************************************************************************
   SLP recommend NPO.  Per discussion with PA

*************************************************************************************************************
 plan for PEG placement as

*************************************************************************************************************
   previously unable to place NGT and feel that patient will pull it out.

*************************************************************************************************************
   Agree with PEG for long term nutrition support to prevent further

*************************************************************************************************************
   nutritional decline and optimize nutrition for post-op healing.  Noted

*************************************************************************************************************
   multiple lyte repletions.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          Current diet / nutrition support is appropriate: continue

*************************************************************************************************************
   NPO per SLP recommendations

*************************************************************************************************************
   o         SLP follow up when appropriate

*************************************************************************************************************
          Tube feeding recommendations: Agree with PEG

*************************************************************************************************************
   o         Once feeding tube placed, recommend begin Isosource 1.5 @

*************************************************************************************************************
   20ml/hr, advance as tolerated to goal of 45ml/hr = 1620 calories and

*************************************************************************************************************
   73g protein

*************************************************************************************************************
          Check residuals, hold tube feed if greater than 200ml

*************************************************************************************************************
          Multivitamin / Mineral supplement: continue current

*************************************************************************************************************
          Check chemistry 10 panel daily

*************************************************************************************************************
   o         Replete lytes PRN

*************************************************************************************************************
   Will follow, page if questions *[**Numeric Identifier 606**]

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   Patient oob, tube feed running at 40 ml/hr.

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Pertinent medications: noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   119

*************************************************************************************************************
   [**2113-2-8**] 08:00 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   150

*************************************************************************************************************
   [**2113-2-7**] 10:00 PM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   31 mg/dL

*************************************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   2.0 mg/dL

*************************************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   143 mEq/L

*************************************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.4 mEq/L

*************************************************************************************************************
   [**2113-2-8**] 07:52 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   109 mEq/L

*************************************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   25 mEq/L

*************************************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   65 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   48 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   30 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.46 units

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.43 units

*************************************************************************************************************
   [**2113-2-7**] 05:19 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.5 units

*************************************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.2 g/dL

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.8 mg/dL

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   4.0 mg/dL

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.07 mmol/L

*************************************************************************************************************
   [**2113-2-7**] 05:19 PM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.1 mg/dL

*************************************************************************************************************
   [**2113-2-8**] 07:52 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   21 IU/L

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   50 IU/L

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   23 IU/L

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Amylase

*************************************************************************************************************
   45 IU/L

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.4 mg/dL

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Triglyceride

*************************************************************************************************************
   120 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   10.1 K/uL

*************************************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   8.3 g/dL

*************************************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   26.1 %

*************************************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************************************
   Current diet order / nutrition support: Replete with fiber Full

*************************************************************************************************************
   strength;

*************************************************************************************************************
   Starting rate: 40 ml/hr; Advance rate by 20 ml q6h Goal rate: 70 ml/hr

*************************************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************************************
   Flush w/ 30 ml water q8h

*************************************************************************************************************
   GI: Abdominal: Soft, Non-distended, Non-tender, Bowel sounds present,

*************************************************************************************************************
   PEG site clean and dry.

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   49 year old male s/p  PEG placement yesterday, tube feed started

*************************************************************************************************************
   yesterday, tolerated Isosource 1.5 well, tube feed ordered changed to

*************************************************************************************************************
   Replete with fiber this morning, spoke to team, does not want patient

*************************************************************************************************************
   on special tube feed, recommend change to Fibersource HN as current

*************************************************************************************************************
   formula provides excess amount of protein. Noted discharge planning in

*************************************************************************************************************
   progress.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          Tube feeding: Fibersource HN goal 60ml/hr ( 1728kcal/76g

*************************************************************************************************************
   protein)

*************************************************************************************************************
          Check chemistry 10 panel daily, replete prn

*************************************************************************************************************
          Continue BS management

*************************************************************************************************************
          [**Numeric Identifier 943**] if has question

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   Patient asleep.

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   70.8 kg ([**2113-2-7**] 04:00 AM)

*************************************************************************************************************
   19.9

*************************************************************************************************************
   Pertinent medications: Multiple Vitamins, Furosemide, Docusate Sodium,

*************************************************************************************************************
   others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   157 mg/dL

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   158

*************************************************************************************************************
   [**2113-2-7**] 06:00 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   33 mg/dL

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   1.9 mg/dL

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   145 mEq/L

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.7 mEq/L

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   111 mEq/L

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   24 mEq/L

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   65 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   48 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   30 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.46 units

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.43 units

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.5 units

*************************************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.2 g/dL

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.8 mg/dL

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   4.0 mg/dL

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.08 mmol/L

*************************************************************************************************************
   [**2113-1-30**] 11:46 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.0 mg/dL

*************************************************************************************************************
   [**2113-2-6**] 11:00 PM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   21 IU/L

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   50 IU/L

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   23 IU/L

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Amylase

*************************************************************************************************************
   45 IU/L

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.4 mg/dL

*************************************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************************************
   Triglyceride

*************************************************************************************************************
   120 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   12.3 K/uL

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   8.8 g/dL

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   26.9 %

*************************************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************************************
   Current diet order / nutrition support: Non-Standard TPN  For Date:

*************************************************************************************************************
   [**2113-2-6**]  (1600ml, 270drextrose/80protein/35fat)

*************************************************************************************************************
   Replete with fiber Full strength;

*************************************************************************************************************
   Starting rate: 10 ml/hr; Advance rate by 10 ml q6h Goal rate: 60 ml/hr

*************************************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************************************
   Flush w/ 30 ml water q8h

*************************************************************************************************************
   GI: Abdominal: Soft, Non-distended, Non-tender, Bowel sounds present,

*************************************************************************************************************
   PEG site clean and dry. Peg to gravity drainage

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   49 year old male with Mitral valve endocarditis, preop stroke s/p MVR

*************************************************************************************************************
   and debridement of aortic valve [**1-27**], patient failed S & S evaluation,

*************************************************************************************************************
   TPN started over the weekend while awaiting PEG.    PEG placed

*************************************************************************************************************
   yesterday, plan to start tube feeds today, current tube feed order not

*************************************************************************************************************
   meeting patient

*************************************************************************************************************
s estimated need.  Noted patient with post op fluid

*************************************************************************************************************
   gain, recommend fluid restricted formula.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          Consider ordering day 1 TPN tonight while slowly advancing

*************************************************************************************************************
   tube feed

*************************************************************************************************************
          Tube feeding: Isosource 1.5cal goal 45ml/hr ( 1620kcal/73g

*************************************************************************************************************
   protein)

*************************************************************************************************************
          Start tube feed at 15ml/hr and adv slowly as tol

*************************************************************************************************************
          Check chemistry 10 panel daily, replete prn

*************************************************************************************************************
          Continue BS management

*************************************************************************************************************
          [**Numeric Identifier 943**] if has question

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   patient sleeping

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   74.9 kg ([**2113-2-3**] 04:00 AM)

*************************************************************************************************************
   19.9

*************************************************************************************************************
   Pertinent medications: D5 @10 ml/hr, KCl (40 mEq repletion), RISS, IV

*************************************************************************************************************
   abx, lansoprazole, famotidine, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   73

*************************************************************************************************************
   [**2113-2-4**] 12:00 PM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   135

*************************************************************************************************************
   [**2113-2-4**] 12:00 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   25 mg/dL

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   1.6 mg/dL

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   140 mEq/L

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.5 mEq/L

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   108 mEq/L

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   65 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   48 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   30 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.46 units

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.43 units

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.5 units

*************************************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.1 g/dL

*************************************************************************************************************
   [**2113-2-1**] 02:44 PM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.3 mg/dL

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   3.1 mg/dL

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.08 mmol/L

*************************************************************************************************************
   [**2113-1-30**] 11:46 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.0 mg/dL

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   23 IU/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   51 IU/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   24 IU/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Amylase

*************************************************************************************************************
   40 IU/L

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.3 mg/dL

*************************************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************************************
   Triglyceride

*************************************************************************************************************
   120 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   13.4 K/uL

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   9.8 g/dL

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   29.7 %

*************************************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************************************
   Current diet order / nutrition support: NPO

*************************************************************************************************************
   GI: soft, hypoactive bowel sounds

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   Specifics: Patient s/p video swallow [**2-3**] which recommended patient be

*************************************************************************************************************
   NPO. Received consult for PPN recommendations. Per discussion with PA,

*************************************************************************************************************
   plan is for PEG placement on Monday and to supplement nutrition with

*************************************************************************************************************
   parenteral nutrition until PEG is able to be used. Patient with PICC,

*************************************************************************************************************
   Day 1 TPN ordered to start tonight. NGT was attempted earlier in week

*************************************************************************************************************
   and was unable to placed and team thinks patient would pull it out.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
   1.       Day 1 TPN tonight

*************************************************************************************************************
   2.       Pending glycemic control advance to goal TPN 1.6L (270 g

*************************************************************************************************************
   dextrose/80 g amino acids/35 g lipids)= 1588 kcals

*************************************************************************************************************
   3.       Check TG hold lipids if greater than 400

*************************************************************************************************************
   4.       Once PEG placed start with Isosource HN @ 15 ml/hr advance to

*************************************************************************************************************
   goal of 45 ml/hr = 1620 kcals/ 73 g protein

*************************************************************************************************************
   5.       Will follow page [**Numeric Identifier 1372**] with questions

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   Patient asleep, [**Name8 (MD) 77**] RN, patient refused all po food or supplements.

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   70.5 kg ([**2113-1-19**] 08:00 AM)

*************************************************************************************************************
   up due to fluid

*************************************************************************************************************
   19.9

*************************************************************************************************************
   Ideal body weight

*************************************************************************************************************
   % Ideal body weight

*************************************************************************************************************
   Adjusted weight

*************************************************************************************************************
   Usual body weight

*************************************************************************************************************
   % Usual body weight

*************************************************************************************************************
   75.3 kg

*************************************************************************************************************
   119%

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   100%

*************************************************************************************************************
   Diagnosis: MITRAL VALVE ENDOCARDITIS

*************************************************************************************************************
   PMHx: None - no medical care x 30 years

*************************************************************************************************************
   Food allergies and intolerances:  not available

*************************************************************************************************************
   Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine,

*************************************************************************************************************
   FoLIC Acid, Nicotine Patch, Heparin, Docusate Sodium , Nafcillin,

*************************************************************************************************************
   Potassium Chloride, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   117 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   25 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   1.5 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   137 mEq/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.3 mEq/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   103 mEq/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   145 mm Hg

*************************************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   34 mm Hg

*************************************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.45 units

*************************************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.0 units

*************************************************************************************************************
   [**2113-1-18**] 12:03 PM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   24 mEq/L

*************************************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   1.9 g/dL

*************************************************************************************************************
   [**2113-1-18**] 07:15 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.1 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   4.8 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   1.9 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   36 IU/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   44 IU/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   54 IU/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.4 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   13.0 K/uL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   11.8 g/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   35.2 %

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Current diet order / nutrition support: Regular; Supplement: Ensure

*************************************************************************************************************
   Plus breakfast, lunch, dinner

*************************************************************************************************************
   GI: Abdominal: Soft, Non-tender, Bowel sounds present

*************************************************************************************************************
   Extremities: Right lower extremity edema: Absent, Left lower extremity

*************************************************************************************************************
   edema

*************************************************************************************************************
   Skin:  Warm, Rash: upper and lower ext, occ petechiae

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   At risk for malnutrition

*************************************************************************************************************
Patient at risk due to:  Low po intake, current illness,  head CT showed multipl

*************************************************************************************************************
e small non-hemorrhagic

*************************************************************************************************************
   infarcts suspicious for septic emboli,

*************************************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************************************
   Calories: 1575-1764 (BEE x  or / 25-28 cal/kg)

*************************************************************************************************************
   Protein: 76-88 (1.2-1.4 g/kg)

*************************************************************************************************************
   Fluid: per team

*************************************************************************************************************
   Calculations based on: Admit weight

*************************************************************************************************************
   Estimation of previous intake: Inadequate

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics:

*************************************************************************************************************
   49 year old male found to have staphylococcus aureus bacterial

*************************************************************************************************************
   endocarditis with severe mitral regurgitation [**3-21**] mitral valve

*************************************************************************************************************
   vegetations and flail leaflet.  Patient transferred from [**Hospital **] [**Hospital1 5**] for CT surgery evaluation and further  management.

*************************************************************************************************************
   Patient s/p speech and swallow evaluation, okay to have regular diet,

*************************************************************************************************************
   yet patient refused to take pos. spoke to team this morning, team

*************************************************************************************************************
   considering NGT placement.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          Po as tolerance

*************************************************************************************************************
          Tube feeding recommendations: Nutren Pulmonary goal 45ml/hr

*************************************************************************************************************
   (1620kcal/73.4g protein)

*************************************************************************************************************
          Monitor tube feed tolerance

*************************************************************************************************************
          Check chemistry 10 panel daily, replete as you are doing

*************************************************************************************************************
          Consider adding phos binder if serum phos remains elevated

*************************************************************************************************************
          Start regular insulin sliding scale if serum glucose greater

*************************************************************************************************************
   than 150 mg/dL

*************************************************************************************************************
          Other: [**Numeric Identifier 943**] if has question

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   Patient asleep, [**Name8 (MD) 77**] RN, patient refused all po food or supplements.

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   70.5 kg ([**2113-1-19**] 08:00 AM)

*************************************************************************************************************
   up due to fluid

*************************************************************************************************************
   19.9

*************************************************************************************************************
   Ideal body weight

*************************************************************************************************************
   % Ideal body weight

*************************************************************************************************************
   Adjusted weight

*************************************************************************************************************
   Usual body weight

*************************************************************************************************************
   % Usual body weight

*************************************************************************************************************
   75.3 kg

*************************************************************************************************************
   119%

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   100%

*************************************************************************************************************
   Diagnosis: MITRAL VALVE ENDOCARDITIS

*************************************************************************************************************
   PMHx: None - no medical care x 30 years

*************************************************************************************************************
   Food allergies and intolerances:  not available

*************************************************************************************************************
   Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine,

*************************************************************************************************************
   FoLIC Acid, Nicotine Patch, Heparin, Docusate Sodium , Nafcillin,

*************************************************************************************************************
   Potassium Chloride, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   117 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   25 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   1.5 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   137 mEq/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.3 mEq/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   103 mEq/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   145 mm Hg

*************************************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   34 mm Hg

*************************************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.45 units

*************************************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.0 units

*************************************************************************************************************
   [**2113-1-18**] 12:03 PM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   24 mEq/L

*************************************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   1.9 g/dL

*************************************************************************************************************
   [**2113-1-18**] 07:15 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.1 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   4.8 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   1.9 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   36 IU/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   44 IU/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   54 IU/L

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.4 mg/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   13.0 K/uL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   11.8 g/dL

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   35.2 %

*************************************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************************************
   Current diet order / nutrition support: Regular; Supplement: Ensure

*************************************************************************************************************
   Plus breakfast, lunch, dinner

*************************************************************************************************************
   GI: Abdominal: Soft, Non-tender, Bowel sounds present

*************************************************************************************************************
   Extremities: Right lower extremity edema: Absent, Left lower extremity

*************************************************************************************************************
   edema

*************************************************************************************************************
   Skin:  Warm, Rash: upper and lower ext, occ petechiae

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   At risk for malnutrition

*************************************************************************************************************
Patient at risk due to:  Low po intake, current illness,  head CT showed multipl

*************************************************************************************************************
e small non-hemorrhagic

*************************************************************************************************************
   infarcts suspicious for septic emboli,

*************************************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************************************
   Calories: 1575-1764 (BEE x  or / 25-28 cal/kg)

*************************************************************************************************************
   Protein: 76-88 (1.2-1.4 g/kg)

*************************************************************************************************************
   Fluid: per team

*************************************************************************************************************
   Calculations based on: Admit weight

*************************************************************************************************************
   Estimation of previous intake: Inadequate

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics:

*************************************************************************************************************
   49 year old male found to have staphylococcus aureus bacterial

*************************************************************************************************************
   endocarditis with severe mitral regurgitation [**3-21**] mitral valve

*************************************************************************************************************
   vegetations and flail leaflet.  Patient transferred from [**Hospital **] [**Hospital1 5**] for CT surgery evaluation and further  management.

*************************************************************************************************************
   Patient s/p speech and swallow evaluation, okay to have regular diet,

*************************************************************************************************************
   yet patient refused to take pos. spoke to team this morning, team

*************************************************************************************************************
   considering NGT placement.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          Po as tolerance

*************************************************************************************************************
          Tube feeding recommendations: Nutren Pulmonary goal 45ml/hr

*************************************************************************************************************
   (1620kcal/73.4g protein)

*************************************************************************************************************
          Monitor tube feed tolerance

*************************************************************************************************************
          Check chemistry 10 panel daily, replete as you are doing

*************************************************************************************************************
          Consider adding phos binder if serum phos remains elevated

*************************************************************************************************************
          Start regular insulin sliding scale if serum glucose greater

*************************************************************************************************************
   than 150 mg/dL

*************************************************************************************************************
          Other: [**Numeric Identifier 943**] if has question

*************************************************************************************************************
   ------ Protected Section ------

*************************************************************************************************************
   Cardiology Teaching Physician Note

*************************************************************************************************************
   On this day I saw, examined and was physically present with the

*************************************************************************************************************
   resident / fellow for the key portions of the services provided. I

*************************************************************************************************************
   agree with the above note and plans.

*************************************************************************************************************
   I would add the following remarks:

*************************************************************************************************************
   Medical Decision Making

*************************************************************************************************************
   Patient slowly improving the am after aggressive diuresis and

*************************************************************************************************************
   initiation of Milrinone. He is less dyspneic and saturations are in the

*************************************************************************************************************
   95-96% range. Renal service feels ARF is multifactorial and sediment is

*************************************************************************************************************
   c/w ATM. Createnine is stable today at 1.5. He is speaking clearly but

*************************************************************************************************************
   somnolent and wife, [**Name (NI) 1880**], feels this is from not sleeping last night.

*************************************************************************************************************
   WBC down to 13K from 14K yesterday. ID recommends continuing Nafcillin

*************************************************************************************************************
   with bllod cultures with fever spikes. Source of fevers are unclear now

*************************************************************************************************************
   and we may need to image his abdomen as he complains of intermittent

*************************************************************************************************************
   abdominal pain. C-[**Doctor First Name 91**] continues to follow closely and would like to

*************************************************************************************************************
   delay surgery for as long as possible.

*************************************************************************************************************
   ------ Protected Section Addendum Entered By:[**Name (NI) **] [**Last Name (NamePattern1) **], MD

*************************************************************************************************************
   on:[**2113-1-20**] 05:48 PM ------

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective:  Did not speak with patient.

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   72 kg ([**2113-1-22**] 10:00 AM)

*************************************************************************************************************
   19.9

*************************************************************************************************************
   Pertinent medications: Milrinone, protonix, abx, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   98 mg/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   27 mg/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   1.0 mg/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   137 mEq/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   4.3 mEq/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   107 mEq/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   19 mEq/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   61 mm Hg

*************************************************************************************************************
   [**2113-1-22**] 12:22 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   48 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   31 mm Hg

*************************************************************************************************************
   [**2113-1-22**] 12:22 AM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.37 units

*************************************************************************************************************
   [**2113-1-22**] 12:22 AM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.43 units

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.0 units

*************************************************************************************************************
   [**2113-1-20**] 06:24 PM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   19 mEq/L

*************************************************************************************************************
   [**2113-1-22**] 12:22 AM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.1 g/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.6 mg/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   3.8 mg/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.0 mg/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   27 IU/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   50 IU/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   27 IU/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.3 mg/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   20.7 K/uL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   12.9 g/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   39.5 %

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Current diet order / nutrition support: Diet: Regular/ heart healthy,

*************************************************************************************************************
   with ensure plus TID

*************************************************************************************************************
   GI: abd soft, bowel sounds present

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   49 year old male found to have staphylococcus aureus bacterial

*************************************************************************************************************
   endocarditis with severe mitral regurgitation [**3-21**] mitral valve

*************************************************************************************************************
   vegetations and flail leaflet.  Patient transferred from [**Hospital **] to [**Hospital1 5**] for CT surgery evaluation and further  management.

*************************************************************************************************************
   Patient s/p speech and swallow evaluation, okay to have regular diet,

*************************************************************************************************************
   yet patient is only taking small amounts of po

*************************************************************************************************************
s due to mental status.

*************************************************************************************************************
    Team is planning to place an NGT for start of tube feeds.  Tube

*************************************************************************************************************
   feeding are recommendations below; these can be adjusted based on

*************************************************************************************************************
   amount of po

*************************************************************************************************************
s patient is taking.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          To meet 100% of estimated needs, recommend Nutren Pulmonary

*************************************************************************************************************
   @ 45mL/hr (1620kcals, 73g protein)

*************************************************************************************************************
          Will monitor po intake and mental status and adjust tube

*************************************************************************************************************
   feeds as needed.

*************************************************************************************************************
          Following g- #[**Numeric Identifier 1312**]

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   intub

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Pertinent medications: Multivitamins, FoLIC Acid , Pantoprazole,

*************************************************************************************************************
   Potassium Chloride, Norepinephrine drip, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   106 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   15 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   1.1 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   140 mEq/L

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.7 mEq/L

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   108 mEq/L

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   26 mEq/L

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   108 mm Hg

*************************************************************************************************************
   [**2113-1-25**] 03:53 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   48 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   53 mm Hg

*************************************************************************************************************
   [**2113-1-25**] 03:53 AM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.32 units

*************************************************************************************************************
   [**2113-1-25**] 03:53 AM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.43 units

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.0 units

*************************************************************************************************************
   [**2113-1-25**] 02:26 PM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   29 mEq/L

*************************************************************************************************************
   [**2113-1-25**] 03:53 AM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.1 g/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.4 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   3.5 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   1.6 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   27 IU/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   50 IU/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   27 IU/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Amylase

*************************************************************************************************************
   25 IU/L

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.3 mg/dL

*************************************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************************************
   Triglyceride

*************************************************************************************************************
   120 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   11.4 K/uL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   9.6 g/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   30.3 %

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   Current diet order / nutrition support: Nutren Pulmonary Full strength;

*************************************************************************************************************
   Additives: Banana flakes, 3 packets per day

*************************************************************************************************************
   Starting rate: 10 ml/hr; Advance rate by 10 ml q4h Goal rate: 45 ml/hr

*************************************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************************************
   Flush w/ 100 ml water q8h ( not running since 8 am this morning)

*************************************************************************************************************
   NPO for Procedure Start: After 12:01AM Procedure: CSURG on date

*************************************************************************************************************
   [**2113-1-26**]

*************************************************************************************************************
   Do NOT resume diet after procedure.

*************************************************************************************************************
   GI: Abd: soft, ND, NT, NBS

*************************************************************************************************************
   Ext: 2+ pulses, 2+ edema in lower extremtiies R>L

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
    49 year old male found to have staphlyococcus aureus bacterial

*************************************************************************************************************
   endocarditis with severe mitral regurgitation [**3-21**] mitral valve

*************************************************************************************************************
   vegetations and flail leaflet, patient pending OR tomorrow for AVR and

*************************************************************************************************************
   MVR with debridement of the epidural abscess.  Patient received minimal

*************************************************************************************************************
   nutrition since admission (had <24hours tube feed from 12/7-8), at very

*************************************************************************************************************
   high risk for malnutrition, recommend closely monitor post cardiac

*************************************************************************************************************
   surgery, may need to restart tube feed as patient was refusing all po

*************************************************************************************************************
   food this admission.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          Multivitamin / Mineral supplement: discontinue outside order

*************************************************************************************************************
   if tube feed restarts

*************************************************************************************************************
          Tube feeding recommendations: restart tube feed as ordered

*************************************************************************************************************
          Check chemistry 10 panel daily, replete as you are doing

*************************************************************************************************************
          Start regular insulin sliding scale if serum glucose greater

*************************************************************************************************************
   than 150 mg/dL

*************************************************************************************************************
          Other: [**Numeric Identifier 943**] if has question

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Ht: 70

*************************************************************************************************************
   Wt: 57.8 kg

*************************************************************************************************************
   IBW: 75.3 kg/ 77%

*************************************************************************************************************
   BMI: 18.2

*************************************************************************************************************
   Pmh: Diabetes,Dyslipidemia,Hypertension, [**1-25**] multiple embolic events

*************************************************************************************************************
   worst is large left posterior cerebral artery infarct(neurologic

*************************************************************************************************************
   deficits including left sided facial droop, right sided neglect, right

*************************************************************************************************************
   sided hemiparesis, expressive aphasia),

*************************************************************************************************************
   MVR(29mm St. [**Male First Name (un) 1104**] Mechanical Valve) with Debridement of Aortic Valve.

*************************************************************************************************************
   Teeth extraction [**2113-1-23**].

*************************************************************************************************************
   Diet Order: regular

*************************************************************************************************************
    49 year old male was in rehab s/p M.  Patient admitted to outside

*************************************************************************************************************
   hospital CT showed depressed fx of right frontal sinus. Patient

*************************************************************************************************************
   transferred

*************************************************************************************************************
   Potential for nutrition risk. Patient being monitored. Current

*************************************************************************************************************
   intervention if any, listed below:

*************************************************************************************************************
   Comments:

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Ht: 70

*************************************************************************************************************
   Wt: 57.8 kg

*************************************************************************************************************
   IBW: 75.3 kg/ 77%

*************************************************************************************************************
   BMI: 18.2

*************************************************************************************************************
   Pmh: Diabetes,Dyslipidemia,Hypertension, [**1-25**] multiple embolic events

*************************************************************************************************************
   worst is large left posterior cerebral artery infarct(neurologic

*************************************************************************************************************
   deficits including left sided facial droop, right sided neglect, right

*************************************************************************************************************
   sided hemiparesis, expressive aphasia),

*************************************************************************************************************
   MVR(29mm St. [**Male First Name (un) 1104**] Mechanical Valve) with Debridement of Aortic Valve.

*************************************************************************************************************
   Teeth extraction [**2113-1-23**].

*************************************************************************************************************
   Diet Order: regular

*************************************************************************************************************
   49 year old male  on coumadin for a prosthetic mitral valve after

*************************************************************************************************************
   having Staphylococcal endocarditis of MV and AV, c/b multiple embolic

*************************************************************************************************************
   strokes admitted from rehab s/p fall. Patient tolerating diet no nausea

*************************************************************************************************************
   or vomiting. Patient reports much better po intake since admit to

*************************************************************************************************************
   [**Hospital1 5**]. Patient unsure of wt loss PTA and unsure of usual body wt. Will

*************************************************************************************************************
   add supplements to increase caloric intake.

*************************************************************************************************************
   Recommendations:

*************************************************************************************************************
   1.       Encourage pos and supplements

*************************************************************************************************************
   2.       Will add ensure TID

*************************************************************************************************************
   3.       Will follow page [**Numeric Identifier 1372**] with questions

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   oriented x 1

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   72 kg ([**2113-2-1**] 04:00 AM)

*************************************************************************************************************
   19.9

*************************************************************************************************************
   Pertinent medications: Ranitidine, ABX, Folic Acid, Thiamine,

*************************************************************************************************************
   Multi-vitamin, lasix, Colace (Held), KCl (20mEq repletion x3)

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   108 mg/dL

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   124

*************************************************************************************************************
   [**2113-2-1**] 12:00 AM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   28 mg/dL

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   2.0 mg/dL

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   139 mEq/L

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.7 mEq/L

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   105 mEq/L

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   65 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   48 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   30 mm Hg

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.46 units

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.43 units

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.5 units

*************************************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.2 g/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   7.6 mg/dL

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   4.6 mg/dL

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.08 mmol/L

*************************************************************************************************************
   [**2113-1-30**] 11:46 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.2 mg/dL

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   20 IU/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   57 IU/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   26 IU/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Amylase

*************************************************************************************************************
   17 IU/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.4 mg/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Triglyceride

*************************************************************************************************************
   120 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   18.2 K/uL

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   10.4 g/dL

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   31.5 %

*************************************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************************************
   Current diet order / nutrition support: Diet: Ground solids, thin

*************************************************************************************************************
   liquids; Ensure Pudding and Carnation Instant Breakfast with meals;

*************************************************************************************************************
   calorie counts [**2-1**], [**2-2**], [**2-3**]

*************************************************************************************************************
   GI: soft, (+) bowel sounds; green liquid stool

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************************************
   Specifics:

*************************************************************************************************************
   Patient s/p MVR / AVR [**1-27**].  Extubated [**1-30**].  Seen by SLP [**1-31**] who

*************************************************************************************************************
   recommended above altered consistency diet with 1:1 supervision.  [**Name8 (MD) **]

*************************************************************************************************************
   RN, patient took Ensure pudding and some Carnation Instant Breakfast

*************************************************************************************************************
   shake this AM with a lot of encouragement.  Patient takes very small

*************************************************************************************************************
   bites and is a picky eater.  RN reports wife to bring in a list of

*************************************************************************************************************
   foods that patient likes.  Calorie counts starting today.  Concerned

*************************************************************************************************************
   with nutrition status given poor po

*************************************************************************************************************
s during admit (refusing po

*************************************************************************************************************
s at

*************************************************************************************************************
   times), only received tube feed briefly on/off and recent surgery.

*************************************************************************************************************
   Would strongly recommend supplemental tube feed to optimize nutrition

*************************************************************************************************************
   for post-op recovery.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          Current diet / nutrition support is appropriate:

*************************************************************************************************************
   Encourage/assist with po

*************************************************************************************************************
   o         Encourage wife to bring in food preference list or food

*************************************************************************************************************
   o         Calorie counts

*************************************************************************************************************
 please record on kitchen receipt percent

*************************************************************************************************************
   eaten

*************************************************************************************************************
          Oral supplements: Continue as ordered

*************************************************************************************************************
          Multivitamin / Mineral supplement: continue current

*************************************************************************************************************
          Tube feeding recommendations:

*************************************************************************************************************
   o         Consider placing NGT and beginning tube feeds to supplement

*************************************************************************************************************
   poor po

*************************************************************************************************************
   o         Tube feed goal would be: Nutren Pulmonary @ 45ml/hr = 1620

*************************************************************************************************************
   calories and 73g protein

*************************************************************************************************************
          Check chemistry 10 panel daily

*************************************************************************************************************
   Will follow, page if questions *[**Numeric Identifier 606**]

*************************************************************************************************************
"

*************************************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************************************
   just extubated

*************************************************************************************************************
   Objective

*************************************************************************************************************
   Height

*************************************************************************************************************
   Admit weight

*************************************************************************************************************
   Daily weight

*************************************************************************************************************
   Weight change

*************************************************************************************************************
   BMI

*************************************************************************************************************
   178 cm

*************************************************************************************************************
   63 kg

*************************************************************************************************************
   76.2 kg ([**2113-1-30**] 04:00 AM)

*************************************************************************************************************
   19.9

*************************************************************************************************************
   Pertinent medications: Multivitamins, others noted

*************************************************************************************************************
   Labs:

*************************************************************************************************************
   Value

*************************************************************************************************************
   Date

*************************************************************************************************************
   Glucose

*************************************************************************************************************
   106 mg/dL

*************************************************************************************************************
   [**2113-1-30**] 07:59 AM

*************************************************************************************************************
   Glucose Finger Stick

*************************************************************************************************************
   93

*************************************************************************************************************
   [**2113-1-29**] 06:00 PM

*************************************************************************************************************
   BUN

*************************************************************************************************************
   20 mg/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Creatinine

*************************************************************************************************************
   1.6 mg/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Sodium

*************************************************************************************************************
   137 mEq/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Potassium

*************************************************************************************************************
   3.5 mEq/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Chloride

*************************************************************************************************************
   104 mEq/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   TCO2

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   PO2 (arterial)

*************************************************************************************************************
   85.[**Numeric Identifier 299**] mm Hg

*************************************************************************************************************
   [**2113-1-30**] 09:19 AM

*************************************************************************************************************
   PO2 (venous)

*************************************************************************************************************
   48 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   PCO2 (arterial)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-30**] 09:19 AM

*************************************************************************************************************
   PCO2 (venous)

*************************************************************************************************************
   33 mm Hg

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (arterial)

*************************************************************************************************************
   7.41 units

*************************************************************************************************************
   [**2113-1-30**] 09:19 AM

*************************************************************************************************************
   pH (venous)

*************************************************************************************************************
   7.43 units

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   pH (urine)

*************************************************************************************************************
   5.0 units

*************************************************************************************************************
   [**2113-1-25**] 02:26 PM

*************************************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************************************
   22 mEq/L

*************************************************************************************************************
   [**2113-1-30**] 09:19 AM

*************************************************************************************************************
   CO2 (Calc) venous

*************************************************************************************************************
   23 mEq/L

*************************************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************************************
   Albumin

*************************************************************************************************************
   2.2 g/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Calcium non-ionized

*************************************************************************************************************
   8.4 mg/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Phosphorus

*************************************************************************************************************
   5.2 mg/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Ionized Calcium

*************************************************************************************************************
   1.09 mmol/L

*************************************************************************************************************
   [**2113-1-30**] 07:59 AM

*************************************************************************************************************
   Magnesium

*************************************************************************************************************
   2.1 mg/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   ALT

*************************************************************************************************************
   20 IU/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Alkaline Phosphate

*************************************************************************************************************
   57 IU/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   AST

*************************************************************************************************************
   26 IU/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Amylase

*************************************************************************************************************
   17 IU/L

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Total Bilirubin

*************************************************************************************************************
   0.4 mg/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Triglyceride

*************************************************************************************************************
   120 mg/dL

*************************************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************************************
   WBC

*************************************************************************************************************
   11.5 K/uL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Hgb

*************************************************************************************************************
   10.3 g/dL

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Hematocrit

*************************************************************************************************************
   30.1 %

*************************************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************************************
   Current diet order / nutrition support: Nutren Pulmonary Full strength;

*************************************************************************************************************
   Starting rate: 10 ml/hr; Advance rate by 10 ml q4h Goal rate: 50 ml/hr

*************************************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************************************
   Flush w/ 30 ml water q4h ( not running)

*************************************************************************************************************
   GI: soft, flesiseal in place

*************************************************************************************************************
   SKIN: stage 2 wounds

*************************************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************************************
   49 year old male admitted on [**1-15**] with endocarditis s/p MVR and aortic

*************************************************************************************************************
   valve debridement on [**1-27**], patient extubated this morning.  Patient

*************************************************************************************************************
   well known to me from CCU, patient with minimal nutrition since

*************************************************************************************************************
   hospital admission (previously refused po food and nutrition

*************************************************************************************************************
   supplements in the ccu, received 1 day of tube feed prior to OR.

*************************************************************************************************************
   Patient at very high risk for malnutrition, highly recommend replace

*************************************************************************************************************
   feeding tube, restart tube feed as temporary nutrition support for post

*************************************************************************************************************
   op recovery.

*************************************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************************************
          Adv diet if remains medically stable

*************************************************************************************************************
          Continue tube feed as supplemental nutrition support: goal

*************************************************************************************************************
   Nutren Pulmonary goal 45ml/hr to provide 1620kcal/73.4g protein

*************************************************************************************************************
           Phos binder if serum phos remains elevated

*************************************************************************************************************
          Check chemistry 10 panel daily, replete prn

*************************************************************************************************************
          BS management

*************************************************************************************************************
          Other: [**Numeric Identifier 943**]

*************************************************************************************************************
"

*************************************************************************************************************
In [24]:
# Token
token_without_punct = []
for i in range(len(doc)):
  token_without_punct.append([token.orth_ for token in doc[i] if not token.is_punct | token.is_space])
  print(token_without_punct[-1])
  print('*******************************************************************************************')
['SUBJECT_ID', 'CATEGORY', 'TEXT']
*******************************************************************************************
['17610,Nutrition,"Patient', 'transferred', 'to', 'MICU', 'for', 'concern', 'for', 'aspiration', 'Diet', 'changed']
*******************************************************************************************
['to', 'NPO', 'NGT', 'in', 'for', 'medication', 'Noted', 'plan', 'to', 'transition', 'to', 'comfort']
*******************************************************************************************
['focused', 'care']
*******************************************************************************************
['Will', 'sign', 'off', 'at', 'this', 'time', 'Please', 'consult', 'if', 'needed', 'Pager', 'Numeric', 'Identifier', '5307']
*******************************************************************************************
[]
*******************************************************************************************
['40493,Nutrition,"Objective']
*******************************************************************************************
['Pertinent', 'medications', 'RISS', 'SS', 'lytes', 'thiamin', 'folate', 'lasix', 'bowel']
*******************************************************************************************
['regimen', 'MOM', 'reglan', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['93', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['120']
*******************************************************************************************
['2172', '11', '9', '08:57', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['15', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['0.6', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['137', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.9', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['106', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['24', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['66', 'mm', 'Hg']
*******************************************************************************************
['2172', '11', '9', '08:57', 'AM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['41', 'mm', 'Hg']
*******************************************************************************************
['2172', '11', '9', '08:57', 'AM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.42', 'units']
*******************************************************************************************
['2172', '11', '9', '08:57', 'AM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.0', 'units']
*******************************************************************************************
['2172', '11', '1', '06:06', 'PM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['28', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '9', '08:57', 'AM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.6', 'g', 'dL']
*******************************************************************************************
['2172', '11', '3', '02:24', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['8.7', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['4.5', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.11', 'mmol', 'L']
*******************************************************************************************
['2172', '11', '5', '01:34', 'PM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.2', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '9', '01:50', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Fibersource', 'HN@60mL', 'hr', '1728']
*******************************************************************************************
['kcals/73', 'gr', 'aa', 'not', 'infusing']
*******************************************************************************************
['GI', 'Abd', 'soft/+bs']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['Specifics']
*******************************************************************************************
['Pt', 'extubated', 'earlier', 'today', 'Pt', 'was', 'previously', 'tolerating', 'TF']
*******************************************************************************************
['s', 'goal']
*******************************************************************************************
['meeting', '100', 'estimated', 'nutrition', 'needs', 'Anticipate', 'diet', 'advancement', 'as']
*******************************************************************************************
['able']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Advance', 'diet', 'per', 'team', 'c/', 'swallow', 'eval', 'if', 'pt', 'shows', 's', 's', 'of', 'aspiration', 'and']
*******************************************************************************************
['advance', 'diet', 'per', 'SLP-', 'vs', 'place', 'NGT', 'and', 'resume', 'TF', "'s", 'if', 'unable', 'to', 'take']
*******************************************************************************************
['po']
*******************************************************************************************
['Will', 'follow', 'plan', '-please', 'page', 'c/', "'s", 'Numeric', 'Identifier', '1684']
*******************************************************************************************
[]
*******************************************************************************************
['40493,Nutrition,"Subjective']
*******************************************************************************************
['intubated']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['168', 'cm']
*******************************************************************************************
['65', 'kg']
*******************************************************************************************
['23.1']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Adjusted', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['64.4', 'kg']
*******************************************************************************************
['101']
*******************************************************************************************
['Diagnosis', 'S', 'P', 'Fall']
*******************************************************************************************
['PMH', 'etoh', 'smoker', 'cirrhosis']
*******************************************************************************************
['Food', 'allergies', 'and', 'intolerances', 'NKFA']
*******************************************************************************************
['Pertinent', 'medications', 'fentanyl', 'LR', '10', 'ml', 'hr', 'lasix', 'versed', 'RISS', 'IV']
*******************************************************************************************
['abx', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['155', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['151']
*******************************************************************************************
['2172', '11', '2', '08:00', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['17', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['0.8', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['146', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.6', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['111', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['29', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['113', 'mm', 'Hg']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['41', 'mm', 'Hg']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.46', 'units']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.0', 'units']
*******************************************************************************************
['2172', '11', '1', '06:06', 'PM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['30', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['3.0', 'g', 'dL']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['8.1', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['2.5', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.16', 'mmol', 'L']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['1.7', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['14', 'IU', 'L']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['73', 'IU', 'L']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['43', 'IU', 'L']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['3.4', 'mg', 'dL']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['23.2', 'K', 'uL']
*******************************************************************************************
['2172', '11', '2', '01:06', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['9.1', 'g', 'dL']
*******************************************************************************************
['2172', '11', '2', '01:06', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['27.2']
*******************************************************************************************
['2172', '11', '2', '01:06', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'NPO', 'replete', 'with', 'fiber', '60']
*******************************************************************************************
['ml', 'hr']
*******************************************************************************************
['GI', 'OGT']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['At', 'risk', 'for', 'malnutrition']
*******************************************************************************************
['Pt', 'at', 'risk', 'due', 'to', 'NPO', 'hypocaloric', 'diet']
*******************************************************************************************
['Estimated', 'Nutritional', 'Needs']
*******************************************************************************************
['Calories', '1625-[**2114', '25', '30', 'cal', 'kg']
*******************************************************************************************
['Protein', '78', '91', '1.2', '1.4', 'g', 'kg']
*******************************************************************************************
['Fluid', 'per', 'team']
*******************************************************************************************
['Estimation', 'of', 'previous', 'intake', 'Likely', 'Adequate']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics', '57', 'year', 'old', 'male', 'transferred', 'from', 'OSH', 'intubated', 'there', 'Pt']
*******************************************************************************************
['S', 'P', 'fall', 'CT', 'shows', 'Stage', 'IV', 'splenic', 'laceration', 'Tolerating', 'TF', 'with']
*******************************************************************************************
['minimal', 'residuals', 'Name8', 'MD', 'RN', 'Current', 'TF', 'provides', '1440', 'kcals/89', 'g', 'Pro']
*******************************************************************************************
['Recommend', 'changing', 'TF', 'to', 'better', 'meet', 'nutritional', 'needs']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['1', 'Check', 'chemistry', '10', 'panel', 'daily']
*******************************************************************************************
['2', 'Change', 'TF', 'to', 'goal', 'of', 'Fibersource', 'HN', '65ml', 'hr', '1872', 'kcals/83', 'g']
*******************************************************************************************
['Pro']
*******************************************************************************************
['3', 'Pls', 'page', 'with', 'questions', 'Numeric', 'Identifier', '2584']
*******************************************************************************************
[]
*******************************************************************************************
['40493,Nutrition,"Subjective']
*******************************************************************************************
['intubated']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['168', 'cm']
*******************************************************************************************
['65', 'kg']
*******************************************************************************************
['23.1']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Adjusted', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['64.4', 'kg']
*******************************************************************************************
['101']
*******************************************************************************************
['Diagnosis', 'S', 'P', 'Fall']
*******************************************************************************************
['PMH', 'etoh', 'smoker', 'cirrhosis']
*******************************************************************************************
['Food', 'allergies', 'and', 'intolerances', 'NKFA']
*******************************************************************************************
['Pertinent', 'medications', 'fentanyl', 'LR', '10', 'ml', 'hr', 'lasix', 'versed', 'RISS', 'IV']
*******************************************************************************************
['abx', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['155', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['151']
*******************************************************************************************
['2172', '11', '2', '08:00', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['17', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['0.8', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['146', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.6', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['111', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['29', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['113', 'mm', 'Hg']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['41', 'mm', 'Hg']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.46', 'units']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.0', 'units']
*******************************************************************************************
['2172', '11', '1', '06:06', 'PM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['30', 'mEq', 'L']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['3.0', 'g', 'dL']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['8.1', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['2.5', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.16', 'mmol', 'L']
*******************************************************************************************
['2172', '11', '2', '11:55', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['1.7', 'mg', 'dL']
*******************************************************************************************
['2172', '11', '2', '12:18', 'PM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['14', 'IU', 'L']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['73', 'IU', 'L']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['43', 'IU', 'L']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['3.4', 'mg', 'dL']
*******************************************************************************************
['2172', '10', '31', '02:55', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['23.2', 'K', 'uL']
*******************************************************************************************
['2172', '11', '2', '01:06', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['9.1', 'g', 'dL']
*******************************************************************************************
['2172', '11', '2', '01:06', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['27.2']
*******************************************************************************************
['2172', '11', '2', '01:06', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'NPO', 'replete', 'with', 'fiber', '60']
*******************************************************************************************
['ml', 'hr']
*******************************************************************************************
['GI', 'OGT']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['At', 'risk', 'for', 'malnutrition']
*******************************************************************************************
['Pt', 'at', 'risk', 'due', 'to', 'NPO', 'hypocaloric', 'diet']
*******************************************************************************************
['Estimated', 'Nutritional', 'Needs']
*******************************************************************************************
['Calories', '1625-[**2114', '25', '30', 'cal', 'kg']
*******************************************************************************************
['Protein', '78', '91', '1.2', '1.4', 'g', 'kg']
*******************************************************************************************
['Fluid', 'per', 'team']
*******************************************************************************************
['Estimation', 'of', 'previous', 'intake', 'Likely', 'Adequate']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics', '57', 'year', 'old', 'male', 'transferred', 'from', 'OSH', 'intubated', 'there', 'Pt']
*******************************************************************************************
['S', 'P', 'fall', 'CT', 'shows', 'Stage', 'IV', 'splenic', 'laceration', 'Tolerating', 'TF', 'with']
*******************************************************************************************
['minimal', 'residuals', 'Name8', 'MD', 'RN', 'Current', 'TF', 'provides', '1440', 'kcals/89', 'g', 'Pro']
*******************************************************************************************
['Recommend', 'changing', 'TF', 'to', 'better', 'meet', 'nutritional', 'needs']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['1', 'Check', 'chemistry', '10', 'panel', 'daily']
*******************************************************************************************
['2', 'Change', 'TF', 'to', 'goal', 'of', 'Fibersource', 'HN', '65ml', 'hr', '1872', 'kcals/83', 'g']
*******************************************************************************************
['Pro']
*******************************************************************************************
['3', 'Pls', 'page', 'with', 'questions', 'Numeric', 'Identifier', '2584']
*******************************************************************************************
[]
*******************************************************************************************
['61565,Nutrition,"Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['88.2', 'kg']
*******************************************************************************************
['27.8']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Adjusted', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['75.3', 'kg']
*******************************************************************************************
['117']
*******************************************************************************************
['Diagnosis', 'Head', 'Bleed']
*******************************************************************************************
['PMH', 'DM']
*******************************************************************************************
['Food', 'allergies', 'and', 'intolerances']
*******************************************************************************************
['Pertinent', 'medications', 'Esmolol', 'famotidine', 'colace', 'lytes', 'ss', 'dilantin']
*******************************************************************************************
['ssri', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['143', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['155']
*******************************************************************************************
['2100', '11', '1', '02:00', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['18', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['0.8', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['142', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['4.1', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['111', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['26', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['109', 'mm', 'Hg']
*******************************************************************************************
['2100', '11', '1', '04:35', 'AM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['38', 'mm', 'Hg']
*******************************************************************************************
['2100', '11', '1', '04:35', 'AM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.48', 'units']
*******************************************************************************************
['2100', '11', '1', '04:35', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['29', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '04:35', 'AM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['3.8', 'g', 'dL']
*******************************************************************************************
['2100', '10', '30', '03:27', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['8.9', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['2.5', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.22', 'mmol', 'L']
*******************************************************************************************
['2100', '10', '31', '02:41', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.3', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Phenytoin', 'Dilantin']
*******************************************************************************************
['10.1', 'ug', 'mL']
*******************************************************************************************
['2100', '10', '31', '02:34', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['12.1', 'K', 'uL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['11.9', 'g', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['33.9']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Replete', 'with', 'fiber', 'Full']
*******************************************************************************************
['strength', 'Goal', 'rate', '65', 'ml', 'hr']
*******************************************************************************************
['Residual', 'Check', 'q4h', 'Hold', 'feeding', 'for', 'residual', '>', '=', '200', 'ml']
*******************************************************************************************
['GI']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['At', 'risk', 'for', 'malnutrition']
*******************************************************************************************
['Pt', 'at', 'risk', 'due', 'to', 'NPO', 'hypocaloric', 'diet']
*******************************************************************************************
['Estimated', 'Nutritional', 'Needs']
*******************************************************************************************
['Calories', '2027**]-2200', 'BEE', 'x', 'or', '22', '25', 'cal', 'kg']
*******************************************************************************************
['Protein', '114', '1.3', 'g', 'kg']
*******************************************************************************************
['Fluid']
*******************************************************************************************
['Estimation', 'of', 'previous', 'intake', 'Adequate']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics']
*******************************************************************************************
['72', 'yo', 'male', 's', 'p', 'witnessed', 'fall', 'w/', 'head', 'trauma', 'right', 'parietal', 'occipital']
*******************************************************************************************
['SAH', 'w/', 'left', 'intraparenchymal', 'bleed', 'contre', 'coup', 'injury', 'Pt', 'started', 'on']
*******************************************************************************************
['TF', 'yesterday', 'currently', 'tol', 'goal', 'TF', 'without', 'issue', 'per', 'chart', 'pt', 'with', '+']
*******************************************************************************************
['gag', 'will', 'plan', 'to', 'extubate', 'this', 'am', 'If', 'unable', 'to', 'extubate', 'will', 'need']
*******************************************************************************************
['to', 'change', 'TF', 'to', 'better', 'meet', 'pt', "'s", 'needs']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Tube', 'feeding', 'recommendations']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily', 'and', 'replete']
*******************************************************************************************
['Cont', 'Bg', 'management']
*******************************************************************************************
['Pplease', 'page', 'Numeric', 'Identifier', '1550', 'if', 'has']
*******************************************************************************************
[]
*******************************************************************************************
['61565,Nutrition,"Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm', 'est']
*******************************************************************************************
['88.2', 'kg']
*******************************************************************************************
['27.8']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Adjusted', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['75.3', 'kg']
*******************************************************************************************
['117']
*******************************************************************************************
['Diagnosis', 'Head', 'Bleed']
*******************************************************************************************
['PMH', 'DM', 'HTN']
*******************************************************************************************
['Food', 'allergies', 'and', 'intolerances']
*******************************************************************************************
['Pertinent', 'medications', 'Esmolol', 'famotidine', 'colace', 'lytes', 'ss', 'dilantin']
*******************************************************************************************
['ssri', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['143', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['155']
*******************************************************************************************
['2100', '11', '1', '02:00', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['18', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['0.8', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['142', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['4.1', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['111', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['26', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['109', 'mm', 'Hg']
*******************************************************************************************
['2100', '11', '1', '04:35', 'AM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['38', 'mm', 'Hg']
*******************************************************************************************
['2100', '11', '1', '04:35', 'AM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.48', 'units']
*******************************************************************************************
['2100', '11', '1', '04:35', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['29', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '1', '04:35', 'AM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['3.8', 'g', 'dL']
*******************************************************************************************
['2100', '10', '30', '03:27', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['8.9', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['2.5', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.22', 'mmol', 'L']
*******************************************************************************************
['2100', '10', '31', '02:41', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.3', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Phenytoin', 'Dilantin']
*******************************************************************************************
['10.1', 'ug', 'mL']
*******************************************************************************************
['2100', '10', '31', '02:34', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['12.1', 'K', 'uL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['11.9', 'g', 'dL']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['33.9']
*******************************************************************************************
['2100', '11', '1', '02:37', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Replete', 'with', 'fiber', 'Full']
*******************************************************************************************
['strength', 'Goal', 'rate', '65', 'ml', 'hr', '1560kcal/96.7', 'g', 'pro']
*******************************************************************************************
['Residual', 'Check', 'q4h', 'Hold', 'feeding', 'for', 'residual', '>', '=', '200', 'ml']
*******************************************************************************************
['GI', 'Soft', 'Non', 'distended', 'Non', 'tender']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['At', 'risk', 'for', 'malnutrition']
*******************************************************************************************
['Pt', 'at', 'risk', 'due', 'to', 'NPO']
*******************************************************************************************
['Estimated', 'Nutritional', 'Needs']
*******************************************************************************************
['Calories', '1760', '2200', 'BEE', 'x', 'or', '20', '25', 'cal', 'kg']
*******************************************************************************************
['Protein', '114', '1.3', 'g', 'kg']
*******************************************************************************************
['Fluid', 'per', 'team']
*******************************************************************************************
['Estimation', 'of', 'previous', 'intake', 'likely', 'adequate']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics']
*******************************************************************************************
['72', 'yo', 'male', 's', 'p', 'witnessed', 'fall', 'w/', 'head', 'trauma', 'right', 'parietal', 'occipital']
*******************************************************************************************
['SAH', 'w/', 'left', 'intraparenchymal', 'bleed', 'contre', 'coup', 'injury', 'Pt', 'started', 'on']
*******************************************************************************************
['TF', 'yesterday', 'currently', 'tol', 'goal', 'TF', 'without', 'issue', 'per', 'chart', 'pt', 'with', '+']
*******************************************************************************************
['gag', 'cough', 'Last', 'Name', 'LF', '1080', 'First', 'Name3', 'LF', 'plan', 'to', 'extubate', 'this', 'am', 'If', 'unable', 'to']
*******************************************************************************************
['extubate', 'will', 'need', 'to', 'change', 'TF', 'to', 'better', 'meet', 'pt', "'s", 'needs']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Tube', 'feeding', 'recommendations', 'increase', 'TF', 'to', 'Replete', 'with', 'Fiber', 'goal']
*******************************************************************************************
['75ml', 'hr', '1800kcal/112', 'g', 'pro']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily', 'and', 'replete', 'prn']
*******************************************************************************************
['Cont', 'Bg', 'management']
*******************************************************************************************
['Please', 'page', 'Numeric', 'Identifier', '1550', 'if', 'has']
*******************************************************************************************
[]
*******************************************************************************************
['61565,Nutrition,"Objective']
*******************************************************************************************
['Pertinent', 'medications', 'pepcid', 'Heparin', 'docusate', 'Abx', 'RISS', 'others']
*******************************************************************************************
['noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['128', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['140']
*******************************************************************************************
['2100', '11', '4', '08:00', 'PM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['18', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['0.7', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['140', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.9', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['103', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['28', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['94.[**Numeric', 'Identifier', '126', 'mm', 'Hg']
*******************************************************************************************
['2100', '11', '5', '07:26', 'AM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['37', 'mm', 'Hg']
*******************************************************************************************
['2100', '11', '5', '07:26', 'AM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.49', 'units']
*******************************************************************************************
['2100', '11', '5', '07:26', 'AM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['7.0', 'units']
*******************************************************************************************
['2100', '11', '5', '11:05', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['29', 'mEq', 'L']
*******************************************************************************************
['2100', '11', '5', '07:26', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['8.7', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '4', '02:31', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['3.0', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '4', '02:31', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.3', 'mg', 'dL']
*******************************************************************************************
['2100', '11', '4', '02:31', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['12.2', 'K', 'uL']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['12.0', 'g', 'dL']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['33.8']
*******************************************************************************************
['2100', '11', '5', '03:32', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Replete', 'c/', 'Fiber', '@65mL', 'hr', '1560']
*******************************************************************************************
['kcals/97', 'gr', 'aa']
*******************************************************************************************
['GI', 'Abd', 'soft/+bs']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics']
*******************************************************************************************
['Pt', 's', 'p', 'trach', 'PEG', 'and', 'IVC', 'filter', 'yesterday', 'TF']
*******************************************************************************************
['s', 'currently', 'infusing']
*******************************************************************************************
['10mL', 'hr', 'Current', 'goal', 'Rx', 'will', 'meet', '88', 'estimated', 'kcal', 'and', '85', 'estimated']
*******************************************************************************************
['aa', 'needs', 'therefore', 'will', 'need', 'to', 'increase', 'goal', 'rate', 'of', 'TF']
*******************************************************************************************
['s', 'to', 'avoid']
*******************************************************************************************
['underfeeding']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Multivitamin', 'Mineral', 'supplement', 'vua', 'TF']
*******************************************************************************************
['Tube', 'feeding', 'recommendations', 'Increase', 'TF', 'goal', 'rate', 'to', '75', 'mL', 'hr', '1800']
*******************************************************************************************
['kcals/112', 'gr', 'aa']
*******************************************************************************************
['BG', 'management', 'as', 'you', 'are']
*******************************************************************************************
['Please', 'page', 'c/', "'s", 'Numeric', 'Identifier', '1684']
*******************************************************************************************
[]
*******************************************************************************************
['98851,Nutrition,"Patient', 'has', 'been', 'NPO', 'and/or', 'on', 'unsupplemented', 'clear', 'liquid', 'diet', 'for', '1']
*******************************************************************************************
['days', 'If', 'patient', "'s", 'diet', 'is', 'not', 'able', 'to', 'be', 'advanced', 'and', 'tolerated']
*******************************************************************************************
['Street', 'Address(1', '1511', 'for', 'nutrition', 'support']
*******************************************************************************************
['Potential', 'for', 'nutrition', 'risk', 'Patient', 'being', 'monitored', 'Current']
*******************************************************************************************
['intervention', 'if', 'any', 'listed', 'below']
*******************************************************************************************
['Comments']
*******************************************************************************************
['Pt', 's', 'p', 'LRRT', '4', '17', 'c', 'b', 'hypoxia', 'and', 'increased', 'O2', 'requirements', 'in', 'PACU', 'on']
*******************************************************************************************
['clears', 'tolerating', 'well', 'Clinically', 'improving', 'possibly', 'transfer', 'to']
*******************************************************************************************
['floor', 'soon']
*******************************************************************************************
['If', 'unable', 'to', 'advance', 'diet', 'further', 'in', '24', '48hrs', 'patient', 'may', 'benefit', 'from']
*******************************************************************************************
['nutrition', 'support']
*******************************************************************************************
['Will', 'f', 'u', 'with', 'progress', 'po', 'tolerance']
*******************************************************************************************
['Please', 'page', 'w/', 'questions', 'Numeric', 'Identifier', '1687']
*******************************************************************************************
['12:11']
*******************************************************************************************
[]
*******************************************************************************************
['58054,Nutrition,"Comments']
*******************************************************************************************
['Screening', 'per', 'hospital', 'nutrition', 'protocol', 'Noted', 'patient', 'is', 'comfort']
*******************************************************************************************
['measures', 'only', 'No', 'nutrition', 'support', 'indicated', 'at', 'this', 'time', 'Will', 'sign']
*******************************************************************************************
['off', 'Please', 'consult', 'if', 'needed', 'Numeric', 'Identifier', '2337']
*******************************************************************************************
[]
*******************************************************************************************
['99573,Nutrition,"Subjective']
*******************************************************************************************
['patient', 'confused', 'unable', 'to', 'answer', 'questions', 'per', 'chart', 'patient', 'had']
*******************************************************************************************
['difficulty', 'swallowing', 'PTA', 'd', 't', 'damaged', 'salivary', 'glands', 'from', 'XRT']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['168', 'cm']
*******************************************************************************************
['98.2', 'kg']
*******************************************************************************************
['34.9']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Adjusted', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['59', 'kg']
*******************************************************************************************
['166']
*******************************************************************************************
['68.8', 'kg']
*******************************************************************************************
['Diagnosis', 'facial', 'fx']
*******************************************************************************************
['PMH', 'breast', 'ca', 'tongue', 'ca', 'ovarian', 'ca', 'polymyalgia', 'NIDDM', 'vertigo', 'hx']
*******************************************************************************************
['of', 'falls']
*******************************************************************************************
['Food', 'allergies', 'and', 'intolerances', 'none', 'noted']
*******************************************************************************************
['Pertinent', 'medications', 'RISS', 'IV', 'abx', 'protonix', 'KCl', '30', 'mEq', 'Dextrose']
*******************************************************************************************
['5', '1/2', 'normal', 'saline', 'with', 'KCl', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['206']
*******************************************************************************************
['2181', '6', '5', '08:00', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['222']
*******************************************************************************************
['2181', '6', '4', '08:00', 'PM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['11', 'mg', 'dL']
*******************************************************************************************
['2181', '6', '4', '11:36', 'PM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['0.5', 'mg', 'dL']
*******************************************************************************************
['2181', '6', '4', '11:36', 'PM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['134', 'mEq', 'L']
*******************************************************************************************
['2181', '6', '4', '11:36', 'PM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['4.1', 'mEq', 'L']
*******************************************************************************************
['2181', '6', '5', '09:13', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['98', 'mEq', 'L']
*******************************************************************************************
['2181', '6', '4', '11:36', 'PM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['26', 'mEq', 'L']
*******************************************************************************************
['2181', '6', '4', '11:36', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['6.5', 'units']
*******************************************************************************************
['2181', '6', '3', '12:30', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['8.5', 'mg', 'dL']
*******************************************************************************************
['2181', '6', '4', '11:36', 'PM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['2.3', 'mg', 'dL']
*******************************************************************************************
['2181', '6', '4', '11:36', 'PM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.0', 'mg', 'dL']
*******************************************************************************************
['2181', '6', '4', '11:36', 'PM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['9.2', 'K', 'uL']
*******************************************************************************************
['2181', '6', '5', '12:03', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['10.9', 'g', 'dL']
*******************************************************************************************
['2181', '6', '5', '12:03', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['32.7']
*******************************************************************************************
['2181', '6', '5', '12:03', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'NPO']
*******************************************************************************************
['GI', 'obese', '+', 'bowel', 'sounds']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['Obese', 'At', 'risk', 'for', 'malnutrition']
*******************************************************************************************
['Pt', 'at', 'risk', 'due', 'to', 'NPO', 'hypocaloric', 'diet', 'trauma']
*******************************************************************************************
['Estimated', 'Nutritional', 'Needs', 'based', 'on', 'adjusted', 'body', 'wt']
*******************************************************************************************
['Calories', '1513', '1720', '22', '25', 'cal', 'kg']
*******************************************************************************************
['Protein', '83', '103', '1.2', '1.5', 'g', 'kg']
*******************************************************************************************
['Fluid', 'per', 'team']
*******************************************************************************************
['Estimation', 'of', 'previous', 'intake', 'unknown']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate', 'd', 't', 'NPO', 'status']
*******************************************************************************************
['Specifics', '78', 'year', 'old', 'female', 'admitted', 'from', 'outside', 'hospital', 'S', 'P', 'fall']
*******************************************************************************************
['at', 'home', 'with', 'multiple', 'injuries', 'including', 'Le', 'Forte', 'fx', 'multiple', 'sinus']
*******************************************************************************************
['fx', 'orbital', 'fx', 'facial', 'and', 'tongue', 'swelling', 'Patient', 'seen', 'by', 'SLP', 'on', '6', '4']
*******************************************************************************************
['who', 'recommended', 'patient', 'remain', 'NPO', 'If', 'patient']
*******************************************************************************************
['s', 'diet', 'can', 'not', 'be']
*******************************************************************************************
['advanced', 'consider', 'initiating', 'tube', 'feedings', 'to', 'prevent', 'further']
*******************************************************************************************
['nutritional', 'decline']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['If', 'diet', 'can', 'not', 'be', 'advanced', 'recommend', 'starting', 'tube', 'feedings', 'start', 'with']
*******************************************************************************************
['Replete', 'with', 'Fiber', '15', 'ml', 'hr', 'advance', 'to', 'goal', 'of', '65', 'ml', 'hr', '=', '1560']
*******************************************************************************************
['kcals/97', 'g', 'protein']
*******************************************************************************************
['Check', 'residuals', 'q', '4', '6', 'hours', 'hold', 'if', 'greater', 'than', '150', 'cc']
*******************************************************************************************
['Monitor', 'lytes', 'and', 'glucose', 'with', 'initiation', 'of', 'tube', 'feeding']
*******************************************************************************************
['Change', 'to', 'non', 'dextrose', 'IV', 'fluids', 'once', 'tube', 'feedings', 'started']
*******************************************************************************************
['Implement', 'any', 'SLP', 'recs']
*******************************************************************************************
['Will', 'continue', 'to', 'follow', 'page', 'Numeric', 'Identifier', '1372', 'with', 'questions']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['oriented', 'x1']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['74.9', 'kg', '2113', '2', '3', '04:00', 'AM']
*******************************************************************************************
['19.9']
*******************************************************************************************
['Pertinent', 'medications', 'Ranitidine', 'Multi', 'vitamin', 'ABX', 'Folic', 'Acid']
*******************************************************************************************
['Thiamine', 'Coumadin', 'Lasix', 'Colace', 'held', 'KCl', '20mEq', 'repletion', 'x2']
*******************************************************************************************
['Magnesium', 'sulfate', '2', 'g', 'repletion', 'Heparin', 'drip']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['105', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['127']
*******************************************************************************************
['2113', '2', '3', '12:00', 'PM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['25', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['1.8', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['142', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.9', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['110', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['25', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['65', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['48', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['30', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.46', 'units']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.43', 'units']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.5', 'units']
*******************************************************************************************
['2113', '2', '1', '07:16', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.1', 'g', 'dL']
*******************************************************************************************
['2113', '2', '1', '02:44', 'PM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.5', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['3.0', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.08', 'mmol', 'L']
*******************************************************************************************
['2113', '1', '30', '11:46', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.3', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['23', 'IU', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['51', 'IU', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['24', 'IU', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Amylase']
*******************************************************************************************
['40', 'IU', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.3', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Triglyceride']
*******************************************************************************************
['120', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['9.3', 'K', 'uL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['8.9', 'g', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['27.0']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Diet', 'NPO']
*******************************************************************************************
['Calorie', 'counts', '2', '1', '17', '18']
*******************************************************************************************
['GI', 'soft', '+', 'bowel', 'sounds', '500ml', 'stool', 'today']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics']
*******************************************************************************************
['49', 'year', 'old', 'male', 'with', 'mitral', 'valve', 'endocarditis', 'preop', 'stroke', 's', 'p', 'MVR']
*******************************************************************************************
['29', 'mm', 'First', 'Name8', 'NamePattern2', 'First', 'Name4', 'NamePattern1', '1104', 'Last', 'Name', 'NamePattern1', '1105', 'debridement', 'of', 'aortic', 'valve', '1', '27', 'Patient', 'with']
*******************************************************************************************
['prolonged', 'poor', 'po']
*******************************************************************************************
['s', 'during', 'admit', 'Was', 'on', 'ground', 'solids', '+', 'thin', 'liquid']
*******************************************************************************************
['diet', 'refusing', 'po']
*******************************************************************************************
['s', 'at', 'times', 's', 'p', 'calories', 'counts']
*******************************************************************************************
['880', 'calories', '2', '1']
*******************************************************************************************
['and', '270', 'calories', '2', '2', 'Seen', 'for', 'video', 'swallow', 'evaluation', 'this', 'AM']
*******************************************************************************************
['SLP', 'recommend', 'NPO', 'Per', 'discussion', 'with', 'PA']
*******************************************************************************************
['plan', 'for', 'PEG', 'placement', 'as']
*******************************************************************************************
['previously', 'unable', 'to', 'place', 'NGT', 'and', 'feel', 'that', 'patient', 'will', 'pull', 'it', 'out']
*******************************************************************************************
['Agree', 'with', 'PEG', 'for', 'long', 'term', 'nutrition', 'support', 'to', 'prevent', 'further']
*******************************************************************************************
['nutritional', 'decline', 'and', 'optimize', 'nutrition', 'for', 'post', 'op', 'healing', 'Noted']
*******************************************************************************************
['multiple', 'lyte', 'repletions']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Current', 'diet', 'nutrition', 'support', 'is', 'appropriate', 'continue']
*******************************************************************************************
['NPO', 'per', 'SLP', 'recommendations']
*******************************************************************************************
['o', 'SLP', 'follow', 'up', 'when', 'appropriate']
*******************************************************************************************
['Tube', 'feeding', 'recommendations', 'Agree', 'with', 'PEG']
*******************************************************************************************
['o', 'Once', 'feeding', 'tube', 'placed', 'recommend', 'begin', 'Isosource', '1.5']
*******************************************************************************************
['20ml', 'hr', 'advance', 'as', 'tolerated', 'to', 'goal', 'of', '45ml', 'hr', '=', '1620', 'calories', 'and']
*******************************************************************************************
['73', 'g', 'protein']
*******************************************************************************************
['Check', 'residuals', 'hold', 'tube', 'feed', 'if', 'greater', 'than', '200ml']
*******************************************************************************************
['Multivitamin', 'Mineral', 'supplement', 'continue', 'current']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily']
*******************************************************************************************
['o', 'Replete', 'lytes', 'PRN']
*******************************************************************************************
['Will', 'follow', 'page', 'if', 'questions', 'Numeric', 'Identifier', '606']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['Patient', 'oob', 'tube', 'feed', 'running', 'at', '40', 'ml', 'hr']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Pertinent', 'medications', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['119']
*******************************************************************************************
['2113', '2', '8', '08:00', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['150']
*******************************************************************************************
['2113', '2', '7', '10:00', 'PM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['31', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '8', '02:50', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['2.0', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '8', '02:50', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['143', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '8', '02:50', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.4', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '8', '07:52', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['109', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '8', '02:50', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['25', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '8', '02:50', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['65', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['48', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['30', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.46', 'units']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.43', 'units']
*******************************************************************************************
['2113', '2', '7', '05:19', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.5', 'units']
*******************************************************************************************
['2113', '2', '1', '07:16', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.2', 'g', 'dL']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.8', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['4.0', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.07', 'mmol', 'L']
*******************************************************************************************
['2113', '2', '7', '05:19', 'PM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.1', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '8', '07:52', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['21', 'IU', 'L']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['50', 'IU', 'L']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['23', 'IU', 'L']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Amylase']
*******************************************************************************************
['45', 'IU', 'L']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.4', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Triglyceride']
*******************************************************************************************
['120', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['10.1', 'K', 'uL']
*******************************************************************************************
['2113', '2', '8', '02:50', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['8.3', 'g', 'dL']
*******************************************************************************************
['2113', '2', '8', '02:50', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['26.1']
*******************************************************************************************
['2113', '2', '8', '02:50', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Replete', 'with', 'fiber', 'Full']
*******************************************************************************************
['strength']
*******************************************************************************************
['Starting', 'rate', '40', 'ml', 'hr', 'Advance', 'rate', 'by', '20', 'ml', 'q6h', 'Goal', 'rate', '70', 'ml', 'hr']
*******************************************************************************************
['Residual', 'Check', 'q4h', 'Hold', 'feeding', 'for', 'residual', '>', '=', '200', 'ml']
*******************************************************************************************
['Flush', 'w/', '30', 'ml', 'water', 'q8h']
*******************************************************************************************
['GI', 'Abdominal', 'Soft', 'Non', 'distended', 'Non', 'tender', 'Bowel', 'sounds', 'present']
*******************************************************************************************
['PEG', 'site', 'clean', 'and', 'dry']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['49', 'year', 'old', 'male', 's', 'p', 'PEG', 'placement', 'yesterday', 'tube', 'feed', 'started']
*******************************************************************************************
['yesterday', 'tolerated', 'Isosource', '1.5', 'well', 'tube', 'feed', 'ordered', 'changed', 'to']
*******************************************************************************************
['Replete', 'with', 'fiber', 'this', 'morning', 'spoke', 'to', 'team', 'does', 'not', 'want', 'patient']
*******************************************************************************************
['on', 'special', 'tube', 'feed', 'recommend', 'change', 'to', 'Fibersource', 'HN', 'as', 'current']
*******************************************************************************************
['formula', 'provides', 'excess', 'amount', 'of', 'protein', 'Noted', 'discharge', 'planning', 'in']
*******************************************************************************************
['progress']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Tube', 'feeding', 'Fibersource', 'HN', 'goal', '60ml', 'hr', '1728kcal/76', 'g']
*******************************************************************************************
['protein']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily', 'replete', 'prn']
*******************************************************************************************
['Continue', 'BS', 'management']
*******************************************************************************************
['Numeric', 'Identifier', '943', 'if', 'has', 'question']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['Patient', 'asleep']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['70.8', 'kg', '2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['19.9']
*******************************************************************************************
['Pertinent', 'medications', 'Multiple', 'Vitamins', 'Furosemide', 'Docusate', 'Sodium']
*******************************************************************************************
['others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['157', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['158']
*******************************************************************************************
['2113', '2', '7', '06:00', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['33', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['1.9', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['145', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.7', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['111', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['24', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['65', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['48', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['30', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.46', 'units']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.43', 'units']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.5', 'units']
*******************************************************************************************
['2113', '2', '1', '07:16', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.2', 'g', 'dL']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.8', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['4.0', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.08', 'mmol', 'L']
*******************************************************************************************
['2113', '1', '30', '11:46', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.0', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '6', '11:00', 'PM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['21', 'IU', 'L']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['50', 'IU', 'L']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['23', 'IU', 'L']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Amylase']
*******************************************************************************************
['45', 'IU', 'L']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.4', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '6', '04:05', 'AM']
*******************************************************************************************
['Triglyceride']
*******************************************************************************************
['120', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['12.3', 'K', 'uL']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['8.8', 'g', 'dL']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['26.9']
*******************************************************************************************
['2113', '2', '7', '04:00', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Non', 'Standard', 'TPN', 'For', 'Date']
*******************************************************************************************
['2113', '2', '6', '1600ml', '270drextrose/80protein/35fat']
*******************************************************************************************
['Replete', 'with', 'fiber', 'Full', 'strength']
*******************************************************************************************
['Starting', 'rate', '10', 'ml', 'hr', 'Advance', 'rate', 'by', '10', 'ml', 'q6h', 'Goal', 'rate', '60', 'ml', 'hr']
*******************************************************************************************
['Residual', 'Check', 'q4h', 'Hold', 'feeding', 'for', 'residual', '>', '=', '200', 'ml']
*******************************************************************************************
['Flush', 'w/', '30', 'ml', 'water', 'q8h']
*******************************************************************************************
['GI', 'Abdominal', 'Soft', 'Non', 'distended', 'Non', 'tender', 'Bowel', 'sounds', 'present']
*******************************************************************************************
['PEG', 'site', 'clean', 'and', 'dry', 'Peg', 'to', 'gravity', 'drainage']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['49', 'year', 'old', 'male', 'with', 'Mitral', 'valve', 'endocarditis', 'preop', 'stroke', 's', 'p', 'MVR']
*******************************************************************************************
['and', 'debridement', 'of', 'aortic', 'valve', '1', '27', 'patient', 'failed', 'S', 'S', 'evaluation']
*******************************************************************************************
['TPN', 'started', 'over', 'the', 'weekend', 'while', 'awaiting', 'PEG', 'PEG', 'placed']
*******************************************************************************************
['yesterday', 'plan', 'to', 'start', 'tube', 'feeds', 'today', 'current', 'tube', 'feed', 'order', 'not']
*******************************************************************************************
['meeting', 'patient']
*******************************************************************************************
['s', 'estimated', 'need', 'Noted', 'patient', 'with', 'post', 'op', 'fluid']
*******************************************************************************************
['gain', 'recommend', 'fluid', 'restricted', 'formula']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Consider', 'ordering', 'day', '1', 'TPN', 'tonight', 'while', 'slowly', 'advancing']
*******************************************************************************************
['tube', 'feed']
*******************************************************************************************
['Tube', 'feeding', 'Isosource', '1.5cal', 'goal', '45ml', 'hr', '1620kcal/73', 'g']
*******************************************************************************************
['protein']
*******************************************************************************************
['Start', 'tube', 'feed', 'at', '15ml', 'hr', 'and', 'adv', 'slowly', 'as', 'tol']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily', 'replete', 'prn']
*******************************************************************************************
['Continue', 'BS', 'management']
*******************************************************************************************
['Numeric', 'Identifier', '943', 'if', 'has', 'question']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['patient', 'sleeping']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['74.9', 'kg', '2113', '2', '3', '04:00', 'AM']
*******************************************************************************************
['19.9']
*******************************************************************************************
['Pertinent', 'medications', 'D5', '@10', 'ml', 'hr', 'KCl', '40', 'mEq', 'repletion', 'RISS', 'IV']
*******************************************************************************************
['abx', 'lansoprazole', 'famotidine', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['73']
*******************************************************************************************
['2113', '2', '4', '12:00', 'PM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['135']
*******************************************************************************************
['2113', '2', '4', '12:00', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['25', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['1.6', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['140', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.5', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['108', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['65', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['48', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['30', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.46', 'units']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.43', 'units']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.5', 'units']
*******************************************************************************************
['2113', '2', '1', '07:16', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.1', 'g', 'dL']
*******************************************************************************************
['2113', '2', '1', '02:44', 'PM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.3', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['3.1', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.08', 'mmol', 'L']
*******************************************************************************************
['2113', '1', '30', '11:46', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.0', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['23', 'IU', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['51', 'IU', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['24', 'IU', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Amylase']
*******************************************************************************************
['40', 'IU', 'L']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.3', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '3', '05:24', 'AM']
*******************************************************************************************
['Triglyceride']
*******************************************************************************************
['120', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['13.4', 'K', 'uL']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['9.8', 'g', 'dL']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['29.7']
*******************************************************************************************
['2113', '2', '4', '03:42', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'NPO']
*******************************************************************************************
['GI', 'soft', 'hypoactive', 'bowel', 'sounds']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['Specifics', 'Patient', 's', 'p', 'video', 'swallow', '2', '3', 'which', 'recommended', 'patient', 'be']
*******************************************************************************************
['NPO', 'Received', 'consult', 'for', 'PPN', 'recommendations', 'Per', 'discussion', 'with', 'PA']
*******************************************************************************************
['plan', 'is', 'for', 'PEG', 'placement', 'on', 'Monday', 'and', 'to', 'supplement', 'nutrition', 'with']
*******************************************************************************************
['parenteral', 'nutrition', 'until', 'PEG', 'is', 'able', 'to', 'be', 'used', 'Patient', 'with', 'PICC']
*******************************************************************************************
['Day', '1', 'TPN', 'ordered', 'to', 'start', 'tonight', 'NGT', 'was', 'attempted', 'earlier', 'in', 'week']
*******************************************************************************************
['and', 'was', 'unable', 'to', 'placed', 'and', 'team', 'thinks', 'patient', 'would', 'pull', 'it', 'out']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['1', 'Day', '1', 'TPN', 'tonight']
*******************************************************************************************
['2', 'Pending', 'glycemic', 'control', 'advance', 'to', 'goal', 'TPN', '1.6L', '270', 'g']
*******************************************************************************************
['dextrose/80', 'g', 'amino', 'acids/35', 'g', 'lipids)=', '1588', 'kcals']
*******************************************************************************************
['3', 'Check', 'TG', 'hold', 'lipids', 'if', 'greater', 'than', '400']
*******************************************************************************************
['4', 'Once', 'PEG', 'placed', 'start', 'with', 'Isosource', 'HN', '15', 'ml', 'hr', 'advance', 'to']
*******************************************************************************************
['goal', 'of', '45', 'ml', 'hr', '=', '1620', 'kcals/', '73', 'g', 'protein']
*******************************************************************************************
['5', 'Will', 'follow', 'page', 'Numeric', 'Identifier', '1372', 'with', 'questions']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['Patient', 'asleep', 'Name8', 'MD', '77', 'RN', 'patient', 'refused', 'all', 'po', 'food', 'or', 'supplements']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['70.5', 'kg', '2113', '1', '19', '08:00', 'AM']
*******************************************************************************************
['up', 'due', 'to', 'fluid']
*******************************************************************************************
['19.9']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Adjusted', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['75.3', 'kg']
*******************************************************************************************
['119']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['100']
*******************************************************************************************
['Diagnosis', 'MITRAL', 'VALVE', 'ENDOCARDITIS']
*******************************************************************************************
['PMHx', 'None', 'no', 'medical', 'care', 'x', '30', 'years']
*******************************************************************************************
['Food', 'allergies', 'and', 'intolerances', 'not', 'available']
*******************************************************************************************
['Pertinent', 'medications', 'Furosemide', 'Milrinone', 'Multivitamins', 'Thiamine']
*******************************************************************************************
['FoLIC', 'Acid', 'Nicotine', 'Patch', 'Heparin', 'Docusate', 'Sodium', 'Nafcillin']
*******************************************************************************************
['Potassium', 'Chloride', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['117', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['25', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['1.5', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['137', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.3', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['103', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['145', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '15', '04:51', 'PM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['34', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '15', '04:51', 'PM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.45', 'units']
*******************************************************************************************
['2113', '1', '15', '04:51', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.0', 'units']
*******************************************************************************************
['2113', '1', '18', '12:03', 'PM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['24', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '15', '04:51', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['1.9', 'g', 'dL']
*******************************************************************************************
['2113', '1', '18', '07:15', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.1', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['4.8', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['1.9', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['36', 'IU', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['44', 'IU', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['54', 'IU', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.4', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['13.0', 'K', 'uL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['11.8', 'g', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['35.2']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Regular', 'Supplement', 'Ensure']
*******************************************************************************************
['Plus', 'breakfast', 'lunch', 'dinner']
*******************************************************************************************
['GI', 'Abdominal', 'Soft', 'Non', 'tender', 'Bowel', 'sounds', 'present']
*******************************************************************************************
['Extremities', 'Right', 'lower', 'extremity', 'edema', 'Absent', 'Left', 'lower', 'extremity']
*******************************************************************************************
['edema']
*******************************************************************************************
['Skin', 'Warm', 'Rash', 'upper', 'and', 'lower', 'ext', 'occ', 'petechiae']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['At', 'risk', 'for', 'malnutrition']
*******************************************************************************************
['Patient', 'at', 'risk', 'due', 'to', 'Low', 'po', 'intake', 'current', 'illness', 'head', 'CT', 'showed', 'multipl']
*******************************************************************************************
['e', 'small', 'non', 'hemorrhagic']
*******************************************************************************************
['infarcts', 'suspicious', 'for', 'septic', 'emboli']
*******************************************************************************************
['Estimated', 'Nutritional', 'Needs']
*******************************************************************************************
['Calories', '1575', '1764', 'BEE', 'x', 'or', '25', '28', 'cal', 'kg']
*******************************************************************************************
['Protein', '76', '88', '1.2', '1.4', 'g', 'kg']
*******************************************************************************************
['Fluid', 'per', 'team']
*******************************************************************************************
['Calculations', 'based', 'on', 'Admit', 'weight']
*******************************************************************************************
['Estimation', 'of', 'previous', 'intake', 'Inadequate']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics']
*******************************************************************************************
['49', 'year', 'old', 'male', 'found', 'to', 'have', 'staphylococcus', 'aureus', 'bacterial']
*******************************************************************************************
['endocarditis', 'with', 'severe', 'mitral', 'regurgitation', '3', '21', 'mitral', 'valve']
*******************************************************************************************
['vegetations', 'and', 'flail', 'leaflet', 'Patient', 'transferred', 'from', 'Hospital', 'Hospital1', '5', 'for', 'CT', 'surgery', 'evaluation', 'and', 'further', 'management']
*******************************************************************************************
['Patient', 's', 'p', 'speech', 'and', 'swallow', 'evaluation', 'okay', 'to', 'have', 'regular', 'diet']
*******************************************************************************************
['yet', 'patient', 'refused', 'to', 'take', 'pos', 'spoke', 'to', 'team', 'this', 'morning', 'team']
*******************************************************************************************
['considering', 'NGT', 'placement']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Po', 'as', 'tolerance']
*******************************************************************************************
['Tube', 'feeding', 'recommendations', 'Nutren', 'Pulmonary', 'goal', '45ml', 'hr']
*******************************************************************************************
['1620kcal/73.4', 'g', 'protein']
*******************************************************************************************
['Monitor', 'tube', 'feed', 'tolerance']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily', 'replete', 'as', 'you', 'are', 'doing']
*******************************************************************************************
['Consider', 'adding', 'phos', 'binder', 'if', 'serum', 'phos', 'remains', 'elevated']
*******************************************************************************************
['Start', 'regular', 'insulin', 'sliding', 'scale', 'if', 'serum', 'glucose', 'greater']
*******************************************************************************************
['than', '150', 'mg', 'dL']
*******************************************************************************************
['Other', 'Numeric', 'Identifier', '943', 'if', 'has', 'question']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['Patient', 'asleep', 'Name8', 'MD', '77', 'RN', 'patient', 'refused', 'all', 'po', 'food', 'or', 'supplements']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['70.5', 'kg', '2113', '1', '19', '08:00', 'AM']
*******************************************************************************************
['up', 'due', 'to', 'fluid']
*******************************************************************************************
['19.9']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Ideal', 'body', 'weight']
*******************************************************************************************
['Adjusted', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['Usual', 'body', 'weight']
*******************************************************************************************
['75.3', 'kg']
*******************************************************************************************
['119']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['100']
*******************************************************************************************
['Diagnosis', 'MITRAL', 'VALVE', 'ENDOCARDITIS']
*******************************************************************************************
['PMHx', 'None', 'no', 'medical', 'care', 'x', '30', 'years']
*******************************************************************************************
['Food', 'allergies', 'and', 'intolerances', 'not', 'available']
*******************************************************************************************
['Pertinent', 'medications', 'Furosemide', 'Milrinone', 'Multivitamins', 'Thiamine']
*******************************************************************************************
['FoLIC', 'Acid', 'Nicotine', 'Patch', 'Heparin', 'Docusate', 'Sodium', 'Nafcillin']
*******************************************************************************************
['Potassium', 'Chloride', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['117', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['25', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['1.5', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['137', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.3', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['103', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['145', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '15', '04:51', 'PM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['34', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '15', '04:51', 'PM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.45', 'units']
*******************************************************************************************
['2113', '1', '15', '04:51', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.0', 'units']
*******************************************************************************************
['2113', '1', '18', '12:03', 'PM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['24', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '15', '04:51', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['1.9', 'g', 'dL']
*******************************************************************************************
['2113', '1', '18', '07:15', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.1', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['4.8', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['1.9', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['36', 'IU', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['44', 'IU', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['54', 'IU', 'L']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.4', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['13.0', 'K', 'uL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['11.8', 'g', 'dL']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['35.2']
*******************************************************************************************
['2113', '1', '20', '02:36', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Regular', 'Supplement', 'Ensure']
*******************************************************************************************
['Plus', 'breakfast', 'lunch', 'dinner']
*******************************************************************************************
['GI', 'Abdominal', 'Soft', 'Non', 'tender', 'Bowel', 'sounds', 'present']
*******************************************************************************************
['Extremities', 'Right', 'lower', 'extremity', 'edema', 'Absent', 'Left', 'lower', 'extremity']
*******************************************************************************************
['edema']
*******************************************************************************************
['Skin', 'Warm', 'Rash', 'upper', 'and', 'lower', 'ext', 'occ', 'petechiae']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['At', 'risk', 'for', 'malnutrition']
*******************************************************************************************
['Patient', 'at', 'risk', 'due', 'to', 'Low', 'po', 'intake', 'current', 'illness', 'head', 'CT', 'showed', 'multipl']
*******************************************************************************************
['e', 'small', 'non', 'hemorrhagic']
*******************************************************************************************
['infarcts', 'suspicious', 'for', 'septic', 'emboli']
*******************************************************************************************
['Estimated', 'Nutritional', 'Needs']
*******************************************************************************************
['Calories', '1575', '1764', 'BEE', 'x', 'or', '25', '28', 'cal', 'kg']
*******************************************************************************************
['Protein', '76', '88', '1.2', '1.4', 'g', 'kg']
*******************************************************************************************
['Fluid', 'per', 'team']
*******************************************************************************************
['Calculations', 'based', 'on', 'Admit', 'weight']
*******************************************************************************************
['Estimation', 'of', 'previous', 'intake', 'Inadequate']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics']
*******************************************************************************************
['49', 'year', 'old', 'male', 'found', 'to', 'have', 'staphylococcus', 'aureus', 'bacterial']
*******************************************************************************************
['endocarditis', 'with', 'severe', 'mitral', 'regurgitation', '3', '21', 'mitral', 'valve']
*******************************************************************************************
['vegetations', 'and', 'flail', 'leaflet', 'Patient', 'transferred', 'from', 'Hospital', 'Hospital1', '5', 'for', 'CT', 'surgery', 'evaluation', 'and', 'further', 'management']
*******************************************************************************************
['Patient', 's', 'p', 'speech', 'and', 'swallow', 'evaluation', 'okay', 'to', 'have', 'regular', 'diet']
*******************************************************************************************
['yet', 'patient', 'refused', 'to', 'take', 'pos', 'spoke', 'to', 'team', 'this', 'morning', 'team']
*******************************************************************************************
['considering', 'NGT', 'placement']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Po', 'as', 'tolerance']
*******************************************************************************************
['Tube', 'feeding', 'recommendations', 'Nutren', 'Pulmonary', 'goal', '45ml', 'hr']
*******************************************************************************************
['1620kcal/73.4', 'g', 'protein']
*******************************************************************************************
['Monitor', 'tube', 'feed', 'tolerance']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily', 'replete', 'as', 'you', 'are', 'doing']
*******************************************************************************************
['Consider', 'adding', 'phos', 'binder', 'if', 'serum', 'phos', 'remains', 'elevated']
*******************************************************************************************
['Start', 'regular', 'insulin', 'sliding', 'scale', 'if', 'serum', 'glucose', 'greater']
*******************************************************************************************
['than', '150', 'mg', 'dL']
*******************************************************************************************
['Other', 'Numeric', 'Identifier', '943', 'if', 'has', 'question']
*******************************************************************************************
['Protected', 'Section']
*******************************************************************************************
['Cardiology', 'Teaching', 'Physician', 'Note']
*******************************************************************************************
['On', 'this', 'day', 'I', 'saw', 'examined', 'and', 'was', 'physically', 'present', 'with', 'the']
*******************************************************************************************
['resident', 'fellow', 'for', 'the', 'key', 'portions', 'of', 'the', 'services', 'provided', 'I']
*******************************************************************************************
['agree', 'with', 'the', 'above', 'note', 'and', 'plans']
*******************************************************************************************
['I', 'would', 'add', 'the', 'following', 'remarks']
*******************************************************************************************
['Medical', 'Decision', 'Making']
*******************************************************************************************
['Patient', 'slowly', 'improving', 'the', 'am', 'after', 'aggressive', 'diuresis', 'and']
*******************************************************************************************
['initiation', 'of', 'Milrinone', 'He', 'is', 'less', 'dyspneic', 'and', 'saturations', 'are', 'in', 'the']
*******************************************************************************************
['95', '96', 'range', 'Renal', 'service', 'feels', 'ARF', 'is', 'multifactorial', 'and', 'sediment', 'is']
*******************************************************************************************
['c', 'w', 'ATM', 'Createnine', 'is', 'stable', 'today', 'at', '1.5', 'He', 'is', 'speaking', 'clearly', 'but']
*******************************************************************************************
['somnolent', 'and', 'wife', 'Name', 'NI', '1880', 'feels', 'this', 'is', 'from', 'not', 'sleeping', 'last', 'night']
*******************************************************************************************
['WBC', 'down', 'to', '13', 'K', 'from', '14', 'K', 'yesterday', 'ID', 'recommends', 'continuing', 'Nafcillin']
*******************************************************************************************
['with', 'bllod', 'cultures', 'with', 'fever', 'spikes', 'Source', 'of', 'fevers', 'are', 'unclear', 'now']
*******************************************************************************************
['and', 'we', 'may', 'need', 'to', 'image', 'his', 'abdomen', 'as', 'he', 'complains', 'of', 'intermittent']
*******************************************************************************************
['abdominal', 'pain', 'C-[**Doctor', 'First', 'Name', '91', 'continues', 'to', 'follow', 'closely', 'and', 'would', 'like', 'to']
*******************************************************************************************
['delay', 'surgery', 'for', 'as', 'long', 'as', 'possible']
*******************************************************************************************
['Protected', 'Section', 'Addendum', 'Entered', 'By:[**Name', 'NI', 'Last', 'Name', 'NamePattern1', 'MD']
*******************************************************************************************
['on:[**2113', '1', '20', '05:48', 'PM']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective', 'Did', 'not', 'speak', 'with', 'patient']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['72', 'kg', '2113', '1', '22', '10:00', 'AM']
*******************************************************************************************
['19.9']
*******************************************************************************************
['Pertinent', 'medications', 'Milrinone', 'protonix', 'abx', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['98', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['27', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['1.0', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['137', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['4.3', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['107', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['19', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['61', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '22', '12:22', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['48', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['31', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '22', '12:22', 'AM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.37', 'units']
*******************************************************************************************
['2113', '1', '22', '12:22', 'AM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.43', 'units']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.0', 'units']
*******************************************************************************************
['2113', '1', '20', '06:24', 'PM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['19', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '22', '12:22', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.1', 'g', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.6', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['3.8', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.0', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['27', 'IU', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['50', 'IU', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['27', 'IU', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.3', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['20.7', 'K', 'uL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['12.9', 'g', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['39.5']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Diet', 'Regular/', 'heart', 'healthy']
*******************************************************************************************
['with', 'ensure', 'plus', 'TID']
*******************************************************************************************
['GI', 'abd', 'soft', 'bowel', 'sounds', 'present']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['49', 'year', 'old', 'male', 'found', 'to', 'have', 'staphylococcus', 'aureus', 'bacterial']
*******************************************************************************************
['endocarditis', 'with', 'severe', 'mitral', 'regurgitation', '3', '21', 'mitral', 'valve']
*******************************************************************************************
['vegetations', 'and', 'flail', 'leaflet', 'Patient', 'transferred', 'from', 'Hospital', 'to', 'Hospital1', '5', 'for', 'CT', 'surgery', 'evaluation', 'and', 'further', 'management']
*******************************************************************************************
['Patient', 's', 'p', 'speech', 'and', 'swallow', 'evaluation', 'okay', 'to', 'have', 'regular', 'diet']
*******************************************************************************************
['yet', 'patient', 'is', 'only', 'taking', 'small', 'amounts', 'of', 'po']
*******************************************************************************************
['s', 'due', 'to', 'mental', 'status']
*******************************************************************************************
['Team', 'is', 'planning', 'to', 'place', 'an', 'NGT', 'for', 'start', 'of', 'tube', 'feeds', 'Tube']
*******************************************************************************************
['feeding', 'are', 'recommendations', 'below', 'these', 'can', 'be', 'adjusted', 'based', 'on']
*******************************************************************************************
['amount', 'of', 'po']
*******************************************************************************************
['s', 'patient', 'is', 'taking']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['To', 'meet', '100', 'of', 'estimated', 'needs', 'recommend', 'Nutren', 'Pulmonary']
*******************************************************************************************
['45mL', 'hr', '1620kcals', '73', 'g', 'protein']
*******************************************************************************************
['Will', 'monitor', 'po', 'intake', 'and', 'mental', 'status', 'and', 'adjust', 'tube']
*******************************************************************************************
['feeds', 'as', 'needed']
*******************************************************************************************
['Following', 'g-', 'Numeric', 'Identifier', '1312']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['intub']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Pertinent', 'medications', 'Multivitamins', 'FoLIC', 'Acid', 'Pantoprazole']
*******************************************************************************************
['Potassium', 'Chloride', 'Norepinephrine', 'drip', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['106', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['15', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['1.1', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['140', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.7', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['108', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['26', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['108', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '25', '03:53', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['48', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['53', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '25', '03:53', 'AM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.32', 'units']
*******************************************************************************************
['2113', '1', '25', '03:53', 'AM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.43', 'units']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.0', 'units']
*******************************************************************************************
['2113', '1', '25', '02:26', 'PM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['29', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '25', '03:53', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.1', 'g', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.4', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['3.5', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['1.6', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['27', 'IU', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['50', 'IU', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['27', 'IU', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Amylase']
*******************************************************************************************
['25', 'IU', 'L']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.3', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '22', '05:17', 'AM']
*******************************************************************************************
['Triglyceride']
*******************************************************************************************
['120', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['11.4', 'K', 'uL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['9.6', 'g', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['30.3']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Nutren', 'Pulmonary', 'Full', 'strength']
*******************************************************************************************
['Additives', 'Banana', 'flakes', '3', 'packets', 'per', 'day']
*******************************************************************************************
['Starting', 'rate', '10', 'ml', 'hr', 'Advance', 'rate', 'by', '10', 'ml', 'q4h', 'Goal', 'rate', '45', 'ml', 'hr']
*******************************************************************************************
['Residual', 'Check', 'q4h', 'Hold', 'feeding', 'for', 'residual', '>', '=', '200', 'ml']
*******************************************************************************************
['Flush', 'w/', '100', 'ml', 'water', 'q8h', 'not', 'running', 'since', '8', 'am', 'this', 'morning']
*******************************************************************************************
['NPO', 'for', 'Procedure', 'Start', 'After', '12:01AM', 'Procedure', 'CSURG', 'on', 'date']
*******************************************************************************************
['2113', '1', '26']
*******************************************************************************************
['Do', 'NOT', 'resume', 'diet', 'after', 'procedure']
*******************************************************************************************
['GI', 'Abd', 'soft', 'ND', 'NT', 'NBS']
*******************************************************************************************
['Ext', '2', '+', 'pulses', '2', '+', 'edema', 'in', 'lower', 'extremtiies', 'R', '>', 'L']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['49', 'year', 'old', 'male', 'found', 'to', 'have', 'staphlyococcus', 'aureus', 'bacterial']
*******************************************************************************************
['endocarditis', 'with', 'severe', 'mitral', 'regurgitation', '3', '21', 'mitral', 'valve']
*******************************************************************************************
['vegetations', 'and', 'flail', 'leaflet', 'patient', 'pending', 'OR', 'tomorrow', 'for', 'AVR', 'and']
*******************************************************************************************
['MVR', 'with', 'debridement', 'of', 'the', 'epidural', 'abscess', 'Patient', 'received', 'minimal']
*******************************************************************************************
['nutrition', 'since', 'admission', 'had', '<', '24hours', 'tube', 'feed', 'from', '12/7', '8)', 'at', 'very']
*******************************************************************************************
['high', 'risk', 'for', 'malnutrition', 'recommend', 'closely', 'monitor', 'post', 'cardiac']
*******************************************************************************************
['surgery', 'may', 'need', 'to', 'restart', 'tube', 'feed', 'as', 'patient', 'was', 'refusing', 'all', 'po']
*******************************************************************************************
['food', 'this', 'admission']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Multivitamin', 'Mineral', 'supplement', 'discontinue', 'outside', 'order']
*******************************************************************************************
['if', 'tube', 'feed', 'restarts']
*******************************************************************************************
['Tube', 'feeding', 'recommendations', 'restart', 'tube', 'feed', 'as', 'ordered']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily', 'replete', 'as', 'you', 'are', 'doing']
*******************************************************************************************
['Start', 'regular', 'insulin', 'sliding', 'scale', 'if', 'serum', 'glucose', 'greater']
*******************************************************************************************
['than', '150', 'mg', 'dL']
*******************************************************************************************
['Other', 'Numeric', 'Identifier', '943', 'if', 'has', 'question']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Ht', '70']
*******************************************************************************************
['Wt', '57.8', 'kg']
*******************************************************************************************
['IBW', '75.3', 'kg/', '77']
*******************************************************************************************
['BMI', '18.2']
*******************************************************************************************
['Pmh', 'Diabetes', 'Dyslipidemia', 'Hypertension', '1', '25', 'multiple', 'embolic', 'events']
*******************************************************************************************
['worst', 'is', 'large', 'left', 'posterior', 'cerebral', 'artery', 'infarct(neurologic']
*******************************************************************************************
['deficits', 'including', 'left', 'sided', 'facial', 'droop', 'right', 'sided', 'neglect', 'right']
*******************************************************************************************
['sided', 'hemiparesis', 'expressive', 'aphasia']
*******************************************************************************************
['MVR(29', 'mm', 'St.', 'Male', 'First', 'Name', 'un', '1104', 'Mechanical', 'Valve', 'with', 'Debridement', 'of', 'Aortic', 'Valve']
*******************************************************************************************
['Teeth', 'extraction', '2113', '1', '23']
*******************************************************************************************
['Diet', 'Order', 'regular']
*******************************************************************************************
['49', 'year', 'old', 'male', 'was', 'in', 'rehab', 's', 'p', 'M.', 'Patient', 'admitted', 'to', 'outside']
*******************************************************************************************
['hospital', 'CT', 'showed', 'depressed', 'fx', 'of', 'right', 'frontal', 'sinus', 'Patient']
*******************************************************************************************
['transferred']
*******************************************************************************************
['Potential', 'for', 'nutrition', 'risk', 'Patient', 'being', 'monitored', 'Current']
*******************************************************************************************
['intervention', 'if', 'any', 'listed', 'below']
*******************************************************************************************
['Comments']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Ht', '70']
*******************************************************************************************
['Wt', '57.8', 'kg']
*******************************************************************************************
['IBW', '75.3', 'kg/', '77']
*******************************************************************************************
['BMI', '18.2']
*******************************************************************************************
['Pmh', 'Diabetes', 'Dyslipidemia', 'Hypertension', '1', '25', 'multiple', 'embolic', 'events']
*******************************************************************************************
['worst', 'is', 'large', 'left', 'posterior', 'cerebral', 'artery', 'infarct(neurologic']
*******************************************************************************************
['deficits', 'including', 'left', 'sided', 'facial', 'droop', 'right', 'sided', 'neglect', 'right']
*******************************************************************************************
['sided', 'hemiparesis', 'expressive', 'aphasia']
*******************************************************************************************
['MVR(29', 'mm', 'St.', 'Male', 'First', 'Name', 'un', '1104', 'Mechanical', 'Valve', 'with', 'Debridement', 'of', 'Aortic', 'Valve']
*******************************************************************************************
['Teeth', 'extraction', '2113', '1', '23']
*******************************************************************************************
['Diet', 'Order', 'regular']
*******************************************************************************************
['49', 'year', 'old', 'male', 'on', 'coumadin', 'for', 'a', 'prosthetic', 'mitral', 'valve', 'after']
*******************************************************************************************
['having', 'Staphylococcal', 'endocarditis', 'of', 'MV', 'and', 'AV', 'c', 'b', 'multiple', 'embolic']
*******************************************************************************************
['strokes', 'admitted', 'from', 'rehab', 's', 'p', 'fall', 'Patient', 'tolerating', 'diet', 'no', 'nausea']
*******************************************************************************************
['or', 'vomiting', 'Patient', 'reports', 'much', 'better', 'po', 'intake', 'since', 'admit', 'to']
*******************************************************************************************
['Hospital1', '5', 'Patient', 'unsure', 'of', 'wt', 'loss', 'PTA', 'and', 'unsure', 'of', 'usual', 'body', 'wt', 'Will']
*******************************************************************************************
['add', 'supplements', 'to', 'increase', 'caloric', 'intake']
*******************************************************************************************
['Recommendations']
*******************************************************************************************
['1', 'Encourage', 'pos', 'and', 'supplements']
*******************************************************************************************
['2', 'Will', 'add', 'ensure', 'TID']
*******************************************************************************************
['3', 'Will', 'follow', 'page', 'Numeric', 'Identifier', '1372', 'with', 'questions']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['oriented', 'x', '1']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['72', 'kg', '2113', '2', '1', '04:00', 'AM']
*******************************************************************************************
['19.9']
*******************************************************************************************
['Pertinent', 'medications', 'Ranitidine', 'ABX', 'Folic', 'Acid', 'Thiamine']
*******************************************************************************************
['Multi', 'vitamin', 'lasix', 'Colace', 'Held', 'KCl', '20mEq', 'repletion', 'x3']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['108', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['124']
*******************************************************************************************
['2113', '2', '1', '12:00', 'AM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['28', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['2.0', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['139', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.7', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['105', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['65', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['48', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['30', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.46', 'units']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.43', 'units']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.5', 'units']
*******************************************************************************************
['2113', '2', '1', '07:16', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '31', '04:47', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.2', 'g', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['7.6', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['4.6', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.08', 'mmol', 'L']
*******************************************************************************************
['2113', '1', '30', '11:46', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.2', 'mg', 'dL']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['20', 'IU', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['57', 'IU', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['26', 'IU', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Amylase']
*******************************************************************************************
['17', 'IU', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.4', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Triglyceride']
*******************************************************************************************
['120', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['18.2', 'K', 'uL']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['10.4', 'g', 'dL']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['31.5']
*******************************************************************************************
['2113', '2', '1', '03:30', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Diet', 'Ground', 'solids', 'thin']
*******************************************************************************************
['liquids', 'Ensure', 'Pudding', 'and', 'Carnation', 'Instant', 'Breakfast', 'with', 'meals']
*******************************************************************************************
['calorie', 'counts', '2', '1', '2', '2', '2', '3']
*******************************************************************************************
['GI', 'soft', '+', 'bowel', 'sounds', 'green', 'liquid', 'stool']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['Estimation', 'of', 'current', 'intake', 'Inadequate']
*******************************************************************************************
['Specifics']
*******************************************************************************************
['Patient', 's', 'p', 'MVR', 'AVR', '1', '27', 'Extubated', '1', '30', 'Seen', 'by', 'SLP', '1', '31', 'who']
*******************************************************************************************
['recommended', 'above', 'altered', 'consistency', 'diet', 'with', '1:1', 'supervision', 'Name8', 'MD']
*******************************************************************************************
['RN', 'patient', 'took', 'Ensure', 'pudding', 'and', 'some', 'Carnation', 'Instant', 'Breakfast']
*******************************************************************************************
['shake', 'this', 'AM', 'with', 'a', 'lot', 'of', 'encouragement', 'Patient', 'takes', 'very', 'small']
*******************************************************************************************
['bites', 'and', 'is', 'a', 'picky', 'eater', 'RN', 'reports', 'wife', 'to', 'bring', 'in', 'a', 'list', 'of']
*******************************************************************************************
['foods', 'that', 'patient', 'likes', 'Calorie', 'counts', 'starting', 'today', 'Concerned']
*******************************************************************************************
['with', 'nutrition', 'status', 'given', 'poor', 'po']
*******************************************************************************************
['s', 'during', 'admit', 'refusing', 'po']
*******************************************************************************************
['s', 'at']
*******************************************************************************************
['times', 'only', 'received', 'tube', 'feed', 'briefly', 'on', 'off', 'and', 'recent', 'surgery']
*******************************************************************************************
['Would', 'strongly', 'recommend', 'supplemental', 'tube', 'feed', 'to', 'optimize', 'nutrition']
*******************************************************************************************
['for', 'post', 'op', 'recovery']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Current', 'diet', 'nutrition', 'support', 'is', 'appropriate']
*******************************************************************************************
['Encourage', 'assist', 'with', 'po']
*******************************************************************************************
['o', 'Encourage', 'wife', 'to', 'bring', 'in', 'food', 'preference', 'list', 'or', 'food']
*******************************************************************************************
['o', 'Calorie', 'counts']
*******************************************************************************************
['please', 'record', 'on', 'kitchen', 'receipt', 'percent']
*******************************************************************************************
['eaten']
*******************************************************************************************
['Oral', 'supplements', 'Continue', 'as', 'ordered']
*******************************************************************************************
['Multivitamin', 'Mineral', 'supplement', 'continue', 'current']
*******************************************************************************************
['Tube', 'feeding', 'recommendations']
*******************************************************************************************
['o', 'Consider', 'placing', 'NGT', 'and', 'beginning', 'tube', 'feeds', 'to', 'supplement']
*******************************************************************************************
['poor', 'po']
*******************************************************************************************
['o', 'Tube', 'feed', 'goal', 'would', 'be', 'Nutren', 'Pulmonary', '45ml', 'hr', '=', '1620']
*******************************************************************************************
['calories', 'and', '73', 'g', 'protein']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily']
*******************************************************************************************
['Will', 'follow', 'page', 'if', 'questions', 'Numeric', 'Identifier', '606']
*******************************************************************************************
[]
*******************************************************************************************
['40461,Nutrition,"Subjective']
*******************************************************************************************
['just', 'extubated']
*******************************************************************************************
['Objective']
*******************************************************************************************
['Height']
*******************************************************************************************
['Admit', 'weight']
*******************************************************************************************
['Daily', 'weight']
*******************************************************************************************
['Weight', 'change']
*******************************************************************************************
['BMI']
*******************************************************************************************
['178', 'cm']
*******************************************************************************************
['63', 'kg']
*******************************************************************************************
['76.2', 'kg', '2113', '1', '30', '04:00', 'AM']
*******************************************************************************************
['19.9']
*******************************************************************************************
['Pertinent', 'medications', 'Multivitamins', 'others', 'noted']
*******************************************************************************************
['Labs']
*******************************************************************************************
['Value']
*******************************************************************************************
['Date']
*******************************************************************************************
['Glucose']
*******************************************************************************************
['106', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '30', '07:59', 'AM']
*******************************************************************************************
['Glucose', 'Finger', 'Stick']
*******************************************************************************************
['93']
*******************************************************************************************
['2113', '1', '29', '06:00', 'PM']
*******************************************************************************************
['BUN']
*******************************************************************************************
['20', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Creatinine']
*******************************************************************************************
['1.6', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Sodium']
*******************************************************************************************
['137', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Potassium']
*******************************************************************************************
['3.5', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Chloride']
*******************************************************************************************
['104', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['TCO2']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['PO2', 'arterial']
*******************************************************************************************
['85.[**Numeric', 'Identifier', '299', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '30', '09:19', 'AM']
*******************************************************************************************
['PO2', 'venous']
*******************************************************************************************
['48', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['PCO2', 'arterial']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '30', '09:19', 'AM']
*******************************************************************************************
['PCO2', 'venous']
*******************************************************************************************
['33', 'mm', 'Hg']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'arterial']
*******************************************************************************************
['7.41', 'units']
*******************************************************************************************
['2113', '1', '30', '09:19', 'AM']
*******************************************************************************************
['pH', 'venous']
*******************************************************************************************
['7.43', 'units']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['pH', 'urine']
*******************************************************************************************
['5.0', 'units']
*******************************************************************************************
['2113', '1', '25', '02:26', 'PM']
*******************************************************************************************
['CO2', 'Calc', 'arterial']
*******************************************************************************************
['22', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '30', '09:19', 'AM']
*******************************************************************************************
['CO2', 'Calc', 'venous']
*******************************************************************************************
['23', 'mEq', 'L']
*******************************************************************************************
['2113', '1', '21', '05:21', 'PM']
*******************************************************************************************
['Albumin']
*******************************************************************************************
['2.2', 'g', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Calcium', 'non', 'ionized']
*******************************************************************************************
['8.4', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Phosphorus']
*******************************************************************************************
['5.2', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Ionized', 'Calcium']
*******************************************************************************************
['1.09', 'mmol', 'L']
*******************************************************************************************
['2113', '1', '30', '07:59', 'AM']
*******************************************************************************************
['Magnesium']
*******************************************************************************************
['2.1', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['ALT']
*******************************************************************************************
['20', 'IU', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Alkaline', 'Phosphate']
*******************************************************************************************
['57', 'IU', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['AST']
*******************************************************************************************
['26', 'IU', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Amylase']
*******************************************************************************************
['17', 'IU', 'L']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Total', 'Bilirubin']
*******************************************************************************************
['0.4', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Triglyceride']
*******************************************************************************************
['120', 'mg', 'dL']
*******************************************************************************************
['2113', '1', '25', '03:36', 'AM']
*******************************************************************************************
['WBC']
*******************************************************************************************
['11.5', 'K', 'uL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Hgb']
*******************************************************************************************
['10.3', 'g', 'dL']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Hematocrit']
*******************************************************************************************
['30.1']
*******************************************************************************************
['2113', '1', '30', '03:25', 'AM']
*******************************************************************************************
['Current', 'diet', 'order', 'nutrition', 'support', 'Nutren', 'Pulmonary', 'Full', 'strength']
*******************************************************************************************
['Starting', 'rate', '10', 'ml', 'hr', 'Advance', 'rate', 'by', '10', 'ml', 'q4h', 'Goal', 'rate', '50', 'ml', 'hr']
*******************************************************************************************
['Residual', 'Check', 'q4h', 'Hold', 'feeding', 'for', 'residual', '>', '=', '200', 'ml']
*******************************************************************************************
['Flush', 'w/', '30', 'ml', 'water', 'q4h', 'not', 'running']
*******************************************************************************************
['GI', 'soft', 'flesiseal', 'in', 'place']
*******************************************************************************************
['SKIN', 'stage', '2', 'wounds']
*******************************************************************************************
['Assessment', 'of', 'Nutritional', 'Status']
*******************************************************************************************
['49', 'year', 'old', 'male', 'admitted', 'on', '1', '15', 'with', 'endocarditis', 's', 'p', 'MVR', 'and', 'aortic']
*******************************************************************************************
['valve', 'debridement', 'on', '1', '27', 'patient', 'extubated', 'this', 'morning', 'Patient']
*******************************************************************************************
['well', 'known', 'to', 'me', 'from', 'CCU', 'patient', 'with', 'minimal', 'nutrition', 'since']
*******************************************************************************************
['hospital', 'admission', 'previously', 'refused', 'po', 'food', 'and', 'nutrition']
*******************************************************************************************
['supplements', 'in', 'the', 'ccu', 'received', '1', 'day', 'of', 'tube', 'feed', 'prior', 'to', 'OR']
*******************************************************************************************
['Patient', 'at', 'very', 'high', 'risk', 'for', 'malnutrition', 'highly', 'recommend', 'replace']
*******************************************************************************************
['feeding', 'tube', 'restart', 'tube', 'feed', 'as', 'temporary', 'nutrition', 'support', 'for', 'post']
*******************************************************************************************
['op', 'recovery']
*******************************************************************************************
['Medical', 'Nutrition', 'Therapy', 'Plan', 'Recommend', 'the', 'Following']
*******************************************************************************************
['Adv', 'diet', 'if', 'remains', 'medically', 'stable']
*******************************************************************************************
['Continue', 'tube', 'feed', 'as', 'supplemental', 'nutrition', 'support', 'goal']
*******************************************************************************************
['Nutren', 'Pulmonary', 'goal', '45ml', 'hr', 'to', 'provide', '1620kcal/73.4', 'g', 'protein']
*******************************************************************************************
['Phos', 'binder', 'if', 'serum', 'phos', 'remains', 'elevated']
*******************************************************************************************
['Check', 'chemistry', '10', 'panel', 'daily', 'replete', 'prn']
*******************************************************************************************
['BS', 'management']
*******************************************************************************************
['Other', 'Numeric', 'Identifier', '943']
*******************************************************************************************
[]
*******************************************************************************************
In [25]:
df=notes
In [26]:
# Build corpus of all the entities extracted from the notes using spaCy model.
# The corpus is an array of arrays or list of lists where each of the nested lists corresponds to a note.
corpus=[]
for row in range(0, len(df)):
  str_tokens=[]
  tokens= nlp(df[row]).ents
  for i in range(0, len(tokens)):
    str_tokens.append(tokens[i].text)
  corpus.append(list(str_tokens))


print(corpus)
[['SUBJECT_ID', 'CATEGORY', 'TEXT\n'], ['17610,Nutrition,"Patient', 'MICU', 'Diet'], ['NPO', 'NGT'], [], ['Identifier 5307'], [], ['40493,Nutrition,"Objective'], ['SS'], [], [], [], [], [], [], ['2172-11-9', '01:50 AM\n'], ['Stick'], ['120'], ['2172-11-9'], ['BUN'], [], ['2172-11-9', '01:50 AM\n'], [], [], ['2172-11-9', '01:50 AM\n'], [], ['137 mEq'], ['2172-11-9', '01:50 AM\n'], [], ['3.9 mEq'], ['2172-11-9', '01:50 AM\n'], [], [], ['2172-11-9', '01:50 AM\n'], [], [], ['2172-11-9', '01:50 AM\n'], ['PO2'], ['66 mm'], ['2172-11-9'], [], ['41 mm'], ['2172-11-9'], [], ['7.42'], ['2172-11-9'], [], ['5.0'], ['2172-11-1', '06:06 PM'], ['Calc'], [], ['2172-11-9'], [], [], ['2172-11-3', '02:24 AM'], [], [], ['2172-11-9', '01:50 AM\n'], [], [], ['2172-11-9', '01:50 AM\n'], ['Ionized Calcium\n'], ['1.11'], ['2172-11-5', '01:34 PM'], [], ['2.2'], ['2172-11-9', '01:50 AM\n'], ['1728'], [], ['Abd soft/+bs\n'], [], [], ['earlier today', 'TF'], [], ['100%'], [], [], [], ['SLP-', 'NGT', 'TF'], [], ['Identifier 1684'], [], [], [], [], [], [], [], [], ['BMI'], ['168 cm'], ['65 kg'], ['23.1'], [], [], [], [], [], ['64.4 kg'], ['101%'], [], ['PMH'], ['NKFA'], ['LR @ 10', 'IV'], [], [], [], [], [], ['155'], ['2172-11-2', '12:18 PM'], ['Stick'], ['151'], ['2172-11-2', '08:00 AM'], ['BUN'], [], ['2172-11-2', '12:18 PM'], [], ['0.8'], ['2172-11-2', '12:18 PM'], [], ['146 mEq'], ['2172-11-2', '12:18 PM'], [], ['3.6 mEq'], ['2172-11-2', '12:18 PM'], [], ['111 mEq'], ['2172-11-2', '12:18 PM'], [], [], ['2172-11-2', '12:18 PM'], ['PO2'], ['113 mm'], ['2172-11-2', '11:55 AM'], [], ['41 mm'], ['2172-11-2', '11:55 AM'], [], ['7.46'], ['2172-11-2', '11:55 AM'], [], ['5.0'], ['2172-11-1', '06:06 PM'], ['Calc'], [], ['2172-11-2', '11:55 AM'], [], ['3.0'], ['2172-10-31', '02:55 AM'], [], ['8.1'], ['2172-11-2', '12:18 PM'], [], [], ['2172-11-2', '12:18 PM'], ['Ionized Calcium\n'], ['1.16'], ['2172-11-2', '11:55 AM'], [], ['1.7'], ['2172-11-2', '12:18 PM'], [], [], ['2172-10-31', '02:55 AM'], ['Alkaline Phosphate'], ['IU/L'], ['2172-10-31', '02:55 AM'], [], [], ['2172-10-31', '02:55 AM'], ['Total Bilirubin'], [], ['2172-10-31', '02:55 AM'], ['WBC'], [], ['2172-11-2', '01:06 AM'], [], ['9.1'], ['2172-11-2', '01:06 AM'], ['Hematocrit'], ['27.2 %'], ['2172-11-2', '01:06 AM'], ['60'], [], ['GI'], [], [], ['NPO'], [], ['1625-[**2114', '25-30'], ['78-91', '1.2-1.4'], [], ['Likely Adequate'], [], ['57 year old', 'OSH'], ['CT'], ['MD', 'TF', '1440'], [], [], ['10', 'daily'], ['65ml', '1872'], [], ['3', 'Identifier 2584'], [], [], [], [], [], [], [], [], ['BMI'], ['168 cm'], ['65 kg'], ['23.1'], [], [], [], [], [], ['64.4 kg'], ['101%'], [], ['PMH'], ['NKFA'], ['LR @ 10', 'IV'], [], [], [], [], [], ['155'], ['2172-11-2', '12:18 PM'], ['Stick'], ['151'], ['2172-11-2', '08:00 AM'], ['BUN'], [], ['2172-11-2', '12:18 PM'], [], ['0.8'], ['2172-11-2', '12:18 PM'], [], ['146 mEq'], ['2172-11-2', '12:18 PM'], [], ['3.6 mEq'], ['2172-11-2', '12:18 PM'], [], ['111 mEq'], ['2172-11-2', '12:18 PM'], [], [], ['2172-11-2', '12:18 PM'], ['PO2'], ['113 mm'], ['2172-11-2', '11:55 AM'], [], ['41 mm'], ['2172-11-2', '11:55 AM'], [], ['7.46'], ['2172-11-2', '11:55 AM'], [], ['5.0'], ['2172-11-1', '06:06 PM'], ['Calc'], [], ['2172-11-2', '11:55 AM'], [], ['3.0'], ['2172-10-31', '02:55 AM'], [], ['8.1'], ['2172-11-2', '12:18 PM'], [], [], ['2172-11-2', '12:18 PM'], ['Ionized Calcium\n'], ['1.16'], ['2172-11-2', '11:55 AM'], [], ['1.7'], ['2172-11-2', '12:18 PM'], [], [], ['2172-10-31', '02:55 AM'], ['Alkaline Phosphate'], ['IU/L'], ['2172-10-31', '02:55 AM'], [], [], ['2172-10-31', '02:55 AM'], ['Total Bilirubin'], [], ['2172-10-31', '02:55 AM'], ['WBC'], [], ['2172-11-2', '01:06 AM'], [], ['9.1'], ['2172-11-2', '01:06 AM'], ['Hematocrit'], ['27.2 %'], ['2172-11-2', '01:06 AM'], ['60'], [], ['GI'], [], [], ['NPO'], [], ['1625-[**2114', '25-30'], ['78-91', '1.2-1.4'], [], ['Likely Adequate'], [], ['57 year old', 'OSH'], ['CT'], ['MD', 'TF', '1440'], [], [], ['10', 'daily'], ['65ml', '1872'], [], ['3', 'Identifier 2584'], [], ['61565,Nutrition,"Objective'], [], [], [], [], ['BMI'], ['178 cm'], ['88.2 kg'], ['27.8'], [], [], [], [], [], ['75.3 kg'], ['117%'], [], ['PMH'], [], ['Esmolol', 'dilantin'], [], [], [], [], [], [], ['2100-11-1', '02:37 AM\n'], ['Stick'], ['155'], ['2100-11-1*', '02:00 AM'], ['BUN'], [], ['2100-11-1', '02:37 AM\n'], [], ['0.8'], ['2100-11-1', '02:37 AM\n'], [], ['142 mEq'], ['2100-11-1', '02:37 AM\n'], [], [], ['2100-11-1', '02:37 AM\n'], [], ['111 mEq'], ['2100-11-1', '02:37 AM\n'], [], ['26 mEq'], ['2100-11-1', '02:37 AM\n'], ['PO2'], ['109 mm'], ['2100-11-1', '04:35 AM\n'], [], ['38 mm'], ['2100-11-1', '04:35 AM\n'], [], ['7.48'], ['2100-11-1', '04:35 AM\n'], ['Calc'], [], ['2100-11-1', '04:35 AM\n'], [], ['3.8'], ['2100-10-30'], [], ['8.9'], ['2100-11-1', '02:37 AM\n'], [], [], ['2100-11-1', '02:37 AM\n'], ['Ionized Calcium\n'], ['1.22'], ['2100-10-31'], [], [], ['2100-11-1', '02:37 AM\n'], ['Phenytoin', 'Dilantin'], [], ['2100-10-31', '02:34 AM'], ['WBC'], ['12.1'], ['2100-11-1', '02:37 AM\n'], [], ['11.9'], ['2100-11-1', '02:37 AM\n'], ['Hematocrit'], ['33.9 %'], ['2100-11-1', '02:37 AM\n'], [], ['Goal', '65 ml'], ['200 ml\n'], ['GI'], [], [], ['NPO'], [], ['2027**]-2200', 'BEE', '22-25 cal/kg'], ['114', '1.3 g/kg'], [], [], [], [], [], [], ['TF', 'yesterday'], [], ['TF'], [], [], ['10', 'daily'], ['Cont Bg'], ['Identifier 1550'], [], ['61565,Nutrition,"Objective'], [], [], [], [], ['BMI'], ['178 cm'], ['88.2 kg'], ['27.8'], [], [], [], [], [], ['75.3 kg'], ['117%'], [], ['PMH'], [], ['Esmolol', 'dilantin'], [], [], [], [], [], [], ['2100-11-1', '02:37 AM\n'], ['Stick'], ['155'], ['2100-11-1*', '02:00 AM'], ['BUN'], [], ['2100-11-1', '02:37 AM\n'], [], ['0.8'], ['2100-11-1', '02:37 AM\n'], [], ['142 mEq'], ['2100-11-1', '02:37 AM\n'], [], [], ['2100-11-1', '02:37 AM\n'], [], ['111 mEq'], ['2100-11-1', '02:37 AM\n'], [], ['26 mEq'], ['2100-11-1', '02:37 AM\n'], ['PO2'], ['109 mm'], ['2100-11-1', '04:35 AM\n'], [], ['38 mm'], ['2100-11-1', '04:35 AM\n'], [], ['7.48'], ['2100-11-1', '04:35 AM\n'], ['Calc'], [], ['2100-11-1', '04:35 AM\n'], [], ['3.8'], ['2100-10-30'], [], ['8.9'], ['2100-11-1', '02:37 AM\n'], [], [], ['2100-11-1', '02:37 AM\n'], ['Ionized Calcium\n'], ['1.22'], ['2100-10-31'], [], [], ['2100-11-1', '02:37 AM\n'], ['Phenytoin', 'Dilantin'], [], ['2100-10-31', '02:34 AM'], ['WBC'], ['12.1'], ['2100-11-1', '02:37 AM\n'], [], ['11.9'], ['2100-11-1', '02:37 AM\n'], ['Hematocrit'], ['33.9 %'], ['2100-11-1', '02:37 AM\n'], [], ['Goal', '65 ml'], ['200 ml\n'], [], [], [], [], [], ['1760-2200', 'BEE', '20-25 cal/kg'], ['114', '1.3 g/kg'], [], [], [], [], [], [], ['TF', 'yesterday'], ['1080', 'First'], ['TF'], [], ['Replete with Fiber'], ['1800kcal/112'], ['10', 'daily'], ['Cont Bg'], ['Identifier 1550'], [], ['61565,Nutrition,"Objective'], ['Heparin', 'Abx'], [], [], [], [], [], ['128'], ['2100-11-5', '03:32 AM'], ['Stick'], ['140'], ['2100-11-4', '08:00 PM'], ['BUN'], [], ['2100-11-5', '03:32 AM'], [], ['0.7'], ['2100-11-5', '03:32 AM'], [], [], ['2100-11-5', '03:32 AM'], [], ['3.9 mEq'], ['2100-11-5', '03:32 AM'], [], [], ['2100-11-5', '03:32 AM'], [], [], ['2100-11-5', '03:32 AM'], ['PO2'], [], ['2100-11-5', '07:26 AM'], [], ['37 mm'], ['2100-11-5', '07:26 AM'], [], ['7.49'], ['2100-11-5', '07:26 AM'], [], ['7.0'], ['2100-11-5', '11:05 AM'], ['Calc'], [], ['2100-11-5', '07:26 AM'], [], [], ['2100-11-4', '02:31 AM'], [], [], ['2100-11-4', '02:31 AM'], [], [], ['2100-11-4', '02:31 AM'], ['WBC'], [], ['2100-11-5', '03:32 AM'], [], ['12.0'], ['2100-11-5', '03:32 AM'], ['Hematocrit'], ['33.8 %'], ['2100-11-5', '03:32 AM'], ['Replete c/ Fiber @65mL', '1560'], [], [], [], [], [], ['IVC', 'yesterday', 'TF'], [], ['88%', '85%'], ['TF'], [], [], [], ['TF'], ['75 mL', '1800'], [], ['BG'], ['Identifier 1684'], [], ['NPO', '1'], [], ['1511'], [], [], [], ['4-17', 'O2', 'PACU'], [], [], ['24-48hrs'], [], [], ['Identifier 1687'], [], [], ['58054,Nutrition,"Comments'], [], [], ['Identifier 2337'], [], ['99573,Nutrition,"Subjective'], [], ['PTA', 'XRT'], [], [], [], [], [], ['BMI'], ['168 cm'], ['98.2 kg'], ['34.9'], [], [], [], [], [], ['59 kg'], ['166%'], ['68.8 kg'], [], ['PMH', 'polymyalgia', 'NIDDM'], [], [], ['IV', '30 mEq', 'Dextrose'], ['5%'], [], [], [], [], [], ['2181-6-5', '08:00 AM'], ['Stick'], ['222'], ['2181-6-4', '08:00 PM'], ['BUN'], [], ['2181-6-4', '11:36 PM'], [], [], ['2181-6-4', '11:36 PM'], [], [], ['2181-6-4', '11:36 PM'], [], [], ['2181-6-5', '09:13 AM'], [], [], ['2181-6-4', '11:36 PM'], [], ['26 mEq'], ['2181-6-4', '11:36 PM'], [], ['6.5'], ['2181-6-3', '12:30 AM'], [], ['8.5'], ['2181-6-4', '11:36 PM'], [], [], ['2181-6-4', '11:36 PM'], [], ['2.0'], ['2181-6-4', '11:36 PM'], ['WBC'], [], ['2181-6-5', '12:03 AM'], [], ['10.9'], ['2181-6-5', '12:03 AM'], ['Hematocrit'], ['32.7 %'], ['2181-6-5', '12:03 AM'], [], ['GI', 'obese'], [], ['Obese'], ['NPO'], [], ['1513-1720', '22-25 cal/kg'], ['83', '1.2-1.5'], [], [], ['NPO'], ['78 year old', 'S/P'], ['Le Forte'], ['fx', 'fx', '6'], ['NPO'], [], [], [], [], [], ['15 ml', '65 ml', '1560'], [], ['4-6 hours', 'greater than 150'], [], ['IV'], [], ['Identifier 1372'], [], ['40461,Nutrition,"Subjective'], [], [], [], [], [], [], ['BMI'], ['178 cm'], ['63 kg'], ['2113-2-3', '04:00 AM'], [], ['Ranitidine', 'Multi', 'ABX', 'Folic Acid'], ['Thiamine', 'Coumadin', 'Lasix', 'Colace', '20mEq'], ['2', 'Heparin'], [], [], [], [], ['105'], ['2113-2-3', '05:24 AM'], ['Stick'], ['127'], ['2113-2-3', '12:00 PM'], ['BUN'], [], ['2113-2-3', '05:24 AM'], [], [], ['2113-2-3', '05:24 AM'], [], ['142 mEq'], ['2113-2-3', '05:24 AM'], [], ['3.9 mEq'], ['2113-2-3', '05:24 AM'], [], [], ['2113-2-3', '05:24 AM'], [], [], ['2113-2-3', '05:24 AM'], ['PO2'], ['65 mm'], ['2113-1-31', '04:47 AM\n'], ['PO2'], ['48 mm'], ['2113-1-21', '05:21 PM'], [], ['30 mm'], ['2113-1-31', '04:47 AM\n'], [], ['33 mm'], ['2113-1-21', '05:21 PM'], [], ['7.46'], ['2113-1-31', '04:47 AM\n'], [], ['7.43'], ['2113-1-21', '05:21 PM'], [], ['5.5'], ['2113-2-1', '07:16 AM\n'], ['Calc'], [], ['2113-1-31', '04:47 AM\n'], ['Calc'], [], ['2113-1-21', '05:21 PM'], [], ['2.1'], ['2113-2-1', '02:44 PM'], [], ['7.5'], ['2113-2-3', '05:24 AM'], [], [], ['2113-2-3', '05:24 AM'], ['Ionized Calcium\n'], ['1.08'], ['2113-1-30', '11:46 AM'], [], [], ['2113-2-3', '05:24 AM'], [], [], ['2113-2-3', '05:24 AM'], ['Alkaline Phosphate'], [], ['2113-2-3', '05:24 AM'], [], ['IU/L\n'], ['2113-2-3', '05:24 AM'], [], ['IU/L\n'], ['2113-2-3', '05:24 AM'], ['Total Bilirubin'], ['0.3'], ['2113-2-3', '05:24 AM'], [], [], ['2113-1-25'], ['WBC'], ['9.3'], ['2113-2-3', '05:24 AM'], [], ['8.9'], ['2113-2-3', '05:24 AM'], ['Hematocrit'], ['27.0 %'], ['2113-2-3', '05:24 AM'], [], ['2', '17 - 18'], ['GI', 'today'], [], [], [], ['49 year old', 's/p MVR'], ['29mm', 'First', 'First Name4', '1104', '1105', '1-27'], [], ['thin liquid\n'], [], [], ['880', '2'], ['270', '2'], ['NPO'], ['PEG'], ['NGT'], [], [], [], [], [], ['NPO'], [], ['PEG'], ['Isosource 1.5'], ['45ml', '1620'], [], [], [], ['10', 'daily'], ['PRN'], ['606'], [], ['40461,Nutrition,"Subjective'], ['40 ml'], [], [], [], [], [], [], [], ['2113-2-8', '08:00 AM'], ['Stick'], [], ['2113-2-7', '10:00 PM'], ['BUN'], [], ['2113-2-8', '02:50 AM'], [], ['2.0'], ['2113-2-8', '02:50 AM'], [], [], ['2113-2-8', '02:50 AM'], [], [], ['2113-2-8', '07:52 AM'], [], [], ['2113-2-8', '02:50 AM'], [], [], ['2113-2-8', '02:50 AM'], ['PO2'], ['65 mm'], ['2113-1-31', '04:47 AM\n'], ['PO2'], ['48 mm'], ['2113-1-21', '05:21 PM'], [], ['30 mm'], ['2113-1-31', '04:47 AM\n'], [], ['33 mm'], ['2113-1-21', '05:21 PM'], [], ['7.46'], ['2113-1-31', '04:47 AM\n'], [], ['7.43'], ['2113-2-7', '05:19 PM'], [], ['5.5'], ['2113-2-1', '07:16 AM\n'], ['Calc'], [], ['2113-1-31', '04:47 AM\n'], ['Calc'], [], ['2113-1-21', '05:21 PM'], [], ['2.2'], ['2113-2-6', '04:05 AM\n'], [], ['7.8'], ['2113-2-6', '04:05 AM\n'], [], [], ['2113-2-6', '04:05 AM\n'], ['Ionized Calcium\n'], ['1.07'], ['2113-2-7', '05:19 PM'], [], ['2.1'], ['2113-2-8', '07:52 AM'], [], ['IU/L\n'], ['2113-2-6', '04:05 AM\n'], ['Alkaline Phosphate'], [], ['2113-2-6', '04:05 AM\n'], [], [], ['2113-2-6', '04:05 AM\n'], [], ['IU/L\n'], ['2113-2-6', '04:05 AM\n'], ['Total Bilirubin'], ['0.4'], ['2113-2-6', '04:05 AM\n'], [], [], ['2113-1-25'], ['WBC'], ['10.1'], ['2113-2-8', '02:50 AM'], [], ['8.3'], ['2113-2-8', '02:50 AM'], ['Hematocrit'], ['26.1 %'], ['2113-2-8', '02:50 AM'], [], [], ['40 ml', 'Advance', '20 ml', '70 ml'], ['200 ml\n'], ['30 ml water q8h\n'], ['Bowel'], [], [], ['49 year old', 's/p  PEG', 'yesterday'], ['yesterday', 'Isosource 1.5'], ['this morning'], ['Fibersource'], [], [], [], ['1728kcal/76'], [], ['10'], [], [], [], ['40461,Nutrition,"Subjective'], [], [], [], [], [], [], ['BMI'], ['178 cm'], ['63 kg'], ['70.8 kg', '2113-2-7', '04:00 AM'], [], ['Multiple Vitamins'], [], [], [], [], [], ['157'], ['2113-2-7', '04:00 AM\n'], ['Stick'], ['158'], ['2113-2-7', '06:00 AM'], ['BUN'], [], ['2113-2-7', '04:00 AM\n'], [], [], ['2113-2-7', '04:00 AM\n'], [], ['145 mEq'], ['2113-2-7', '04:00 AM\n'], [], [], ['2113-2-7', '04:00 AM\n'], [], ['111 mEq'], ['2113-2-7', '04:00 AM\n'], [], [], ['2113-2-7', '04:00 AM\n'], ['PO2'], ['65 mm'], ['2113-1-31', '04:47 AM\n'], ['PO2'], ['48 mm'], ['2113-1-21', '05:21 PM'], [], ['30 mm'], ['2113-1-31', '04:47 AM\n'], [], ['33 mm'], ['2113-1-21', '05:21 PM'], [], ['7.46'], ['2113-1-31', '04:47 AM\n'], [], ['7.43'], ['2113-1-21', '05:21 PM'], [], ['5.5'], ['2113-2-1', '07:16 AM\n'], ['Calc'], [], ['2113-1-31', '04:47 AM\n'], ['Calc'], [], ['2113-1-21', '05:21 PM'], [], ['2.2'], ['2113-2-6', '04:05 AM\n'], [], ['7.8'], ['2113-2-6', '04:05 AM\n'], [], [], ['2113-2-6', '04:05 AM\n'], ['Ionized Calcium\n'], ['1.08'], ['2113-1-30', '11:46 AM'], [], ['2.0'], ['2113-2-6', '11:00 PM'], [], ['IU/L\n'], ['2113-2-6', '04:05 AM\n'], ['Alkaline Phosphate'], [], ['2113-2-6', '04:05 AM\n'], [], [], ['2113-2-6', '04:05 AM\n'], [], ['IU/L\n'], ['2113-2-6', '04:05 AM\n'], ['Total Bilirubin'], ['0.4'], ['2113-2-6', '04:05 AM\n'], [], [], ['2113-1-25'], ['WBC'], [], ['2113-2-7', '04:00 AM\n'], [], ['8.8'], ['2113-2-7', '04:00 AM\n'], ['Hematocrit'], ['26.9 %'], ['2113-2-7', '04:00 AM\n'], [], ['2113-2-6', '270drextrose/80protein/35fat'], [], ['10 ml', 'Advance', '10 ml q6h Goal', '60 ml'], ['200 ml\n'], ['30 ml water q8h\n'], ['Bowel'], ['Peg'], [], ['49 year old', 'Mitral', 's/p MVR'], ['1-27', 'S & S'], ['TPN', 'the weekend', 'PEG', 'PEG'], ['yesterday', 'today'], [], [], [], [], ['1 TPN', 'tonight'], [], ['Isosource 1.5cal', '1620kcal/73'], [], ['15ml'], ['10'], [], [], [], ['40461,Nutrition,"Subjective'], [], [], [], [], [], [], ['BMI'], ['178 cm'], ['63 kg'], ['2113-2-3', '04:00 AM'], [], ['D5', '40 mEq', 'IV'], [], [], [], [], [], [], ['2113-2-4', '12:00 PM'], ['Stick'], ['135'], ['2113-2-4', '12:00 AM'], ['BUN'], [], ['2113-2-4', '03:42 AM\n'], [], [], ['2113-2-4', '03:42 AM\n'], [], [], ['2113-2-4', '03:42 AM\n'], [], [], ['2113-2-4', '03:42 AM\n'], [], ['108 mEq'], ['2113-2-4', '03:42 AM\n'], [], [], ['2113-2-4', '03:42 AM\n'], ['PO2'], ['65 mm'], ['2113-1-31', '04:47 AM\n'], ['PO2'], ['48 mm'], ['2113-1-21', '05:21 PM'], [], ['30 mm'], ['2113-1-31', '04:47 AM\n'], [], ['33 mm'], ['2113-1-21', '05:21 PM'], [], ['7.46'], ['2113-1-31', '04:47 AM\n'], [], ['7.43'], ['2113-1-21', '05:21 PM'], [], ['5.5'], ['2113-2-1', '07:16 AM\n'], ['Calc'], [], ['2113-1-31', '04:47 AM\n'], ['Calc'], [], ['2113-1-21', '05:21 PM'], [], ['2.1'], ['2113-2-1', '02:44 PM'], [], ['7.3'], ['2113-2-4', '03:42 AM\n'], [], ['3.1'], ['2113-2-4', '03:42 AM\n'], ['Ionized Calcium\n'], ['1.08'], ['2113-1-30', '11:46 AM'], [], ['2.0'], ['2113-2-4', '03:42 AM\n'], [], [], ['2113-2-3', '05:24 AM'], ['Alkaline Phosphate'], [], ['2113-2-3', '05:24 AM'], [], ['IU/L\n'], ['2113-2-3', '05:24 AM'], [], ['IU/L\n'], ['2113-2-3', '05:24 AM'], ['Total Bilirubin'], ['0.3'], ['2113-2-3', '05:24 AM'], [], [], ['2113-1-25'], ['WBC'], [], ['2113-2-4', '03:42 AM\n'], [], ['9.8'], ['2113-2-4', '03:42 AM\n'], ['Hematocrit'], ['29.7 %'], ['2113-2-4', '03:42 AM\n'], [], ['GI'], [], ['2'], ['NPO', 'PPN', 'PA'], ['PEG', 'Monday'], ['PEG'], ['tonight', 'NGT'], [], [], [], ['TPN', '270'], ['1588'], ['3', '400'], ['Isosource HN @', '15 ml'], ['45 ml', '1620', '73'], ['Identifier 1372'], [], ['40461,Nutrition,"Subjective'], ['MD'], [], [], [], [], [], ['BMI'], ['178 cm'], ['63 kg'], ['70.5 kg', '2113-1-19', '08:00 AM'], [], [], [], [], [], [], [], ['75.3 kg'], ['119%'], ['63 kg'], [], [], ['30 years'], [], ['Thiamine'], ['Nicotine Patch', 'Nafcillin'], [], [], [], [], [], [], ['2113-1-20'], ['BUN'], [], ['2113-1-20'], [], [], ['2113-1-20'], [], ['137 mEq'], ['2113-1-20'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], ['PO2'], ['145 mm'], ['2113-1-15', '04:51 PM\n'], [], ['34 mm'], ['2113-1-15', '04:51 PM\n'], [], ['7.45'], ['2113-1-15', '04:51 PM\n'], [], ['5.0'], ['2113-1-18', '12:03 PM'], ['Calc'], [], ['2113-1-15', '04:51 PM\n'], [], ['1.9'], ['2113-1-18', '07:15 AM\n'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], ['Alkaline Phosphate'], [], ['2113-1-20'], [], ['IU/L'], ['2113-1-20'], ['Total Bilirubin'], ['0.4'], ['2113-1-20'], ['WBC'], [], ['2113-1-20'], [], ['11.8'], ['2113-1-20'], ['Hematocrit'], ['35.2 %'], ['2113-1-20'], [], [], ['Bowel'], [], [], [], [], [], ['CT'], [], [], [], ['1575-1764', 'BEE'], ['76-88', '1.2-1.4'], [], [], [], [], [], ['49 year old'], ['3'], ['5', 'CT'], [], ['this morning'], ['NGT'], [], [], ['Nutren Pulmonary', '45ml'], ['1620kcal/73.4'], [], ['10'], [], [], [], [], [], ['40461,Nutrition,"Subjective'], ['MD'], [], [], [], [], [], ['BMI'], ['178 cm'], ['63 kg'], ['70.5 kg', '2113-1-19', '08:00 AM'], [], [], [], [], [], [], [], ['75.3 kg'], ['119%'], ['63 kg'], [], [], ['30 years'], [], ['Thiamine'], ['Nicotine Patch', 'Nafcillin'], [], [], [], [], [], [], ['2113-1-20'], ['BUN'], [], ['2113-1-20'], [], [], ['2113-1-20'], [], ['137 mEq'], ['2113-1-20'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], ['PO2'], ['145 mm'], ['2113-1-15', '04:51 PM\n'], [], ['34 mm'], ['2113-1-15', '04:51 PM\n'], [], ['7.45'], ['2113-1-15', '04:51 PM\n'], [], ['5.0'], ['2113-1-18', '12:03 PM'], ['Calc'], [], ['2113-1-15', '04:51 PM\n'], [], ['1.9'], ['2113-1-18', '07:15 AM\n'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], [], [], ['2113-1-20'], ['Alkaline Phosphate'], [], ['2113-1-20'], [], ['IU/L'], ['2113-1-20'], ['Total Bilirubin'], ['0.4'], ['2113-1-20'], ['WBC'], [], ['2113-1-20'], [], ['11.8'], ['2113-1-20'], ['Hematocrit'], ['35.2 %'], ['2113-1-20'], [], [], ['Bowel'], [], [], [], [], [], ['CT'], [], [], [], ['1575-1764', 'BEE'], ['76-88', '1.2-1.4'], [], [], [], [], [], ['49 year old'], ['3'], ['5', 'CT'], [], ['this morning'], ['NGT'], [], [], ['Nutren Pulmonary', '45ml'], ['1620kcal/73.4'], [], ['10'], [], [], [], [], [], ['Physician Note'], ['this day'], [], [], [], [], [], [], ['ARF'], ['Createnine', 'today', '1.5'], ['NI', '1880', 'last night'], ['WBC', '13', '14', 'yesterday', 'Nafcillin'], [], [], ['91'], [], ['MD'], ['05:48 PM'], [], ['40461,Nutrition,"Subjective'], [], [], [], [], [], ['BMI'], ['178 cm'], ['63 kg'], ['72 kg', '2113-1-22', '10:00 AM'], [], [], [], [], [], [], [], ['2113-1-22', '05:17 AM\n'], ['BUN'], [], ['2113-1-22', '05:17 AM\n'], [], [], ['2113-1-22', '05:17 AM\n'], [], ['137 mEq'], ['2113-1-22', '05:17 AM\n'], [], ['4.3 mEq'], ['2113-1-22', '05:17 AM\n'], [], [], ['2113-1-22', '05:17 AM\n'], [], [], ['2113-1-22', '05:17 AM\n'], ['PO2'], ['61 mm'], ['2113-1-22', '12:22 AM'], ['PO2'], ['48 mm'], ['2113-1-21', '05:21 PM'], [], ['31 mm'], ['2113-1-22', '12:22 AM'], [], ['33 mm'], ['2113-1-21', '05:21 PM'], [], ['7.37'], ['2113-1-22', '12:22 AM'], [], ['7.43'], ['2113-1-21', '05:21 PM'], [], ['5.0'], ['2113-1-20', '06:24 PM'], ['Calc'], [], ['2113-1-22', '12:22 AM'], ['Calc'], [], ['2113-1-21', '05:21 PM'], [], ['2.1'], ['2113-1-22', '05:17 AM\n'], [], [], ['2113-1-22', '05:17 AM\n'], [], ['3.8'], ['2113-1-22', '05:17 AM\n'], [], ['2.0'], ['2113-1-22', '05:17 AM\n'], [], [], ['2113-1-22', '05:17 AM\n'], ['Alkaline Phosphate'], [], ['2113-1-22', '05:17 AM\n'], [], [], ['2113-1-22', '05:17 AM\n'], ['Total Bilirubin'], ['0.3'], ['2113-1-22', '05:17 AM\n'], ['WBC'], ['20.7'], ['2113-1-22', '05:17 AM\n'], [], ['12.9'], ['2113-1-22', '05:17 AM\n'], ['Hematocrit'], ['39.5 %'], ['2113-1-22', '05:17 AM\n'], [], ['TID'], ['GI'], [], ['49 year old'], ['3'], ['5', 'CT'], [], [], [], ['NGT', 'Tube'], [], [], [], [], ['100%', 'Nutren Pulmonary'], ['73'], [], [], ['Identifier 1312'], [], ['40461,Nutrition,"Subjective'], [], [], ['Pantoprazole'], ['Norepinephrine drip'], [], [], [], [], [], ['2113-1-25'], ['BUN'], [], ['2113-1-25'], [], [], ['2113-1-25'], [], [], ['2113-1-25'], [], [], ['2113-1-25'], [], ['108 mEq'], ['2113-1-25'], [], ['26 mEq'], ['2113-1-25'], ['PO2'], ['108 mm'], ['2113-1-25', '03:53 AM'], ['PO2'], ['48 mm'], ['2113-1-21', '05:21 PM'], [], [], ['2113-1-25', '03:53 AM'], [], ['33 mm'], ['2113-1-21', '05:21 PM'], [], ['7.32'], ['2113-1-25', '03:53 AM'], [], ['7.43'], ['2113-1-21', '05:21 PM'], [], ['5.0'], ['2113-1-25', '02:26 PM\n'], ['Calc'], [], ['2113-1-25', '03:53 AM'], ['Calc'], [], ['2113-1-21', '05:21 PM'], [], ['2.1'], ['2113-1-22', '05:17 AM\n'], [], ['7.4'], ['2113-1-25'], [], [], ['2113-1-25'], [], [], ['2113-1-25'], [], [], ['2113-1-22', '05:17 AM\n'], ['Alkaline Phosphate'], [], ['2113-1-22', '05:17 AM\n'], [], [], ['2113-1-22', '05:17 AM\n'], [], ['IU/L'], ['2113-1-22', '05:17 AM\n'], ['Total Bilirubin'], ['0.3'], ['2113-1-22', '05:17 AM\n'], [], [], ['2113-1-25'], ['WBC'], [], ['2113-1-25'], [], ['9.6'], ['2113-1-25'], ['Hematocrit'], ['30.3 %'], ['2113-1-25'], ['Nutren Pulmonary Full'], ['Banana', '3'], ['10 ml', 'Advance', '10 ml q4h Goal', '45 ml'], ['200 ml\n'], ['100 ml', '8 am this morning'], [], ['2113-1-26'], [], ['ND', 'NBS'], ['2+', '2'], [], ['49 year old'], ['3'], ['tomorrow', 'AVR'], ['MVR'], ['12/7-8)'], [], [], [], [], [], [], [], ['10'], [], [], [], [], ['40461,Nutrition,"Ht', '70'], ['57.8 kg'], ['75.3', '77%'], ['BMI', '18.2'], ['1-25'], [], [], [], ['un', '1104', 'Debridement of Aortic Valve'], ['2113-1-23'], [], ['49 year old'], ['CT', 'fx'], [], [], [], [], [], ['40461,Nutrition,"Ht', '70'], ['57.8 kg'], ['75.3', '77%'], ['BMI', '18.2'], ['1-25'], [], [], [], ['un', '1104', 'Debridement of Aortic Valve'], ['2113-1-23'], [], ['49 year old'], ['MV', 'AV'], ['rehab s/p fall'], [], ['5', 'PTA'], [], [], [], ['TID'], ['3', 'Identifier 1372'], [], ['40461,Nutrition,"Subjective'], ['1'], [], [], [], [], [], ['BMI'], ['178 cm'], ['63 kg'], ['72 kg', '2113-2-1', '04:00 AM'], [], ['Ranitidine', 'ABX', 'Folic Acid', 'Thiamine'], ['Multi', 'Colace', '20mEq'], [], [], [], [], [], ['2113-2-1', '03:30 AM\n'], ['Stick'], ['124'], ['2113-2-1', '12:00 AM'], ['BUN'], [], ['2113-2-1', '03:30 AM\n'], [], ['2.0'], ['2113-2-1', '03:30 AM\n'], [], [], ['2113-2-1', '03:30 AM\n'], [], [], ['2113-2-1', '03:30 AM\n'], [], ['105 mEq'], ['2113-2-1', '03:30 AM\n'], [], [], ['2113-2-1', '03:30 AM\n'], ['PO2'], ['65 mm'], ['2113-1-31', '04:47 AM\n'], ['PO2'], ['48 mm'], ['2113-1-21', '05:21 PM'], [], ['30 mm'], ['2113-1-31', '04:47 AM\n'], [], ['33 mm'], ['2113-1-21', '05:21 PM'], [], ['7.46'], ['2113-1-31', '04:47 AM\n'], [], ['7.43'], ['2113-1-21', '05:21 PM'], [], ['5.5'], ['2113-2-1', '07:16 AM\n'], ['Calc'], [], ['2113-1-31', '04:47 AM\n'], ['Calc'], [], ['2113-1-21', '05:21 PM'], [], ['2.2'], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-2-1', '03:30 AM\n'], [], ['4.6'], ['2113-2-1', '03:30 AM\n'], ['Ionized Calcium\n'], ['1.08'], ['2113-1-30', '11:46 AM'], [], ['2.2'], ['2113-2-1', '03:30 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], ['Alkaline Phosphate'], [], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], ['Total Bilirubin'], ['0.4'], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-25'], ['WBC'], [], ['2113-2-1', '03:30 AM\n'], [], ['10.4'], ['2113-2-1', '03:30 AM\n'], ['Hematocrit'], ['31.5 %'], ['2113-2-1', '03:30 AM\n'], [], [], ['2', '2', '2'], ['GI'], [], [], [], ['s/p MVR', '1-27', '1-30', '1-31'], ['1:1', 'MD'], ['RN'], [], ['RN'], ['Calorie', 'today'], [], [], [], [], [], [], [], [], [], [], [], [], [], [], [], [], ['NGT'], [], ['Nutren Pulmonary @', '1620'], ['73'], ['10', 'daily'], ['606'], [], ['40461,Nutrition,"Subjective'], [], [], [], [], [], [], ['BMI'], ['178 cm'], ['63 kg'], ['2113-1-30', '04:00 AM'], [], [], [], [], [], [], [], ['2113-1-30', '07:59 AM\n'], ['Stick'], [], ['2113-1-29', '06:00 PM'], ['BUN'], [], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], [], ['137 mEq'], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], ['PO2'], [], ['2113-1-30', '09:19 AM\n'], ['PO2'], ['48 mm'], ['2113-1-21', '05:21 PM'], [], ['33 mm'], ['2113-1-30', '09:19 AM\n'], [], ['33 mm'], ['2113-1-21', '05:21 PM'], [], ['7.41'], ['2113-1-30', '09:19 AM\n'], [], ['7.43'], ['2113-1-21', '05:21 PM'], [], ['5.0'], ['2113-1-25', '02:26 PM\n'], ['Calc'], [], ['2113-1-30', '09:19 AM\n'], ['Calc'], [], ['2113-1-21', '05:21 PM'], [], ['2.2'], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], [], ['5.2'], ['2113-1-30', '03:25 AM\n'], ['Ionized Calcium\n'], [], ['2113-1-30', '07:59 AM\n'], [], ['2.1'], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], ['Alkaline Phosphate'], [], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-30', '03:25 AM\n'], ['Total Bilirubin'], ['0.4'], ['2113-1-30', '03:25 AM\n'], [], [], ['2113-1-25'], ['WBC'], ['11.5'], ['2113-1-30', '03:25 AM\n'], [], ['10.3'], ['2113-1-30', '03:25 AM\n'], ['Hematocrit'], ['30.1 %'], ['2113-1-30', '03:25 AM\n'], ['Nutren Pulmonary Full'], ['10 ml', 'Advance', '10 ml q4h Goal', '50 ml'], ['200 ml\n'], ['30 ml water q4h'], ['GI'], ['2'], [], ['49 year old', '1-15', 's/p MVR'], ['1-27', 'this morning'], ['CCU'], [], ['1 day'], [], [], [], [], [], [], ['Nutren Pulmonary', '45ml'], [], ['10'], [], [], []]
In [27]:
from gensim.models import Word2Vec
model1 = Word2Vec(corpus, min_count=1)
In [29]:
model1.wv['Hematocrit']
Out[29]:
array([-2.3748518e-04,  4.2191767e-03,  2.1141458e-03,  9.9958219e-03,
        6.2948110e-04, -5.4644262e-03, -1.1796928e-03,  2.0705319e-03,
       -3.3730685e-03, -7.8467671e-03, -5.5992617e-03, -6.7500677e-03,
        6.3533271e-03,  3.9225565e-03,  8.2155354e-03,  6.5196683e-03,
       -6.1278404e-03,  2.7159513e-03,  8.4721260e-03,  1.5956569e-03,
        3.0682290e-03,  5.8126138e-03, -8.8393716e-03,  9.1247475e-03,
        6.8194829e-03,  8.5104434e-03, -8.2262624e-03,  6.1755395e-03,
        6.6290712e-03, -1.3576425e-03, -6.2938654e-03,  5.3266799e-03,
       -6.8595777e-03, -5.3233542e-03,  3.5116898e-03,  8.0809724e-03,
        8.6926939e-03, -4.4053150e-03, -9.1887703e-03,  9.6076941e-03,
        6.2903082e-03, -3.9663352e-03, -8.4597291e-03, -4.7183349e-03,
       -3.9572273e-03, -3.2734512e-03,  8.1909180e-04, -2.9716254e-04,
       -3.1123769e-03, -5.9959874e-03,  9.4205197e-03, -4.7255373e-03,
       -7.2620986e-03,  7.6847305e-03,  2.5176955e-03,  8.6263958e-03,
       -4.4651162e-03, -6.8924036e-03,  9.8490238e-04, -1.1729765e-03,
       -9.3970643e-03, -1.6030729e-03,  3.0505990e-03,  6.5657818e-03,
        6.8452419e-03,  3.2082784e-03, -4.4432725e-03, -1.8391669e-03,
       -3.9402582e-03,  5.7739150e-03, -6.3587092e-03,  2.1030188e-03,
       -1.3452339e-03, -5.8127786e-03, -7.2462116e-03,  5.8525624e-03,
       -8.3582047e-03, -6.8724988e-04,  2.8274262e-03,  7.7390098e-03,
       -7.2979080e-03,  3.3045732e-03,  9.8084975e-03, -6.9770790e-03,
       -3.5348581e-03,  5.1335134e-03,  5.2383854e-03,  1.6241145e-03,
        7.9711350e-03,  8.3158852e-04,  1.8713165e-03, -1.6052496e-03,
       -8.1662778e-03,  3.2578039e-03,  1.9663644e-03, -8.7342048e-03,
       -6.7500712e-04,  7.6670643e-05, -5.9592726e-06,  8.7101338e-03],
      dtype=float32)
In [30]:
model1.wv.similar_by_word('Hematocrit')
Out[30]:
[('10.4', 0.3077991008758545),
 ('65 kg', 0.26820874214172363),
 ('100 ml', 0.2433023303747177),
 ('151', 0.23261547088623047),
 ('Diet', 0.22584640979766846),
 ('60', 0.224870964884758),
 ('38 mm', 0.22341559827327728),
 ('10.3', 0.21017244458198547),
 ('Goal', 0.2089768797159195),
 ('07:16 AM\n', 0.20850542187690735)]
In [31]:
def tsne_plot(model,words, preTrained=False):
    "Creates and TSNE model and plots it"
    labels = []
    tokens = []

    for word in words:
      if preTrained:
          tokens.append(model[word])
      else:
          tokens.append(model.wv[word])
      labels.append(word)

    tokens = np.array(tokens)
    tsne_model = TSNE(perplexity=30, early_exaggeration=12, n_components=2, init='pca', n_iter=1000, random_state=23)
    new_values = tsne_model.fit_transform(tokens)

    x = []
    y = []
    for value in new_values:
        x.append(value[0])
        y.append(value[1])

    plt.figure(figsize=(16, 16))
    for i in range(len(x)):
        plt.scatter(x[i],y[i])
        plt.annotate(labels[i],
                     xy=(x[i], y[i]),
                     xytext=(5, 2),
                     textcoords='offset points',
                     ha='right',
                     va='bottom')
    plt.show()
In [33]:
from sklearn.manifold import TSNE
vocabs = model1.wv.key_to_index.keys()
new_v = np.array(list(vocabs))
tsne_plot(model1,new_v)
No description has been provided for this image
In [34]:
# load pre-trained word2vec embeddings
import gensim
import gensim.downloader as api

info = api.info()  # show info about available models/datasets
pretrained_model= api.load("glove-wiki-gigaword-50")  # download the model and return as object ready for use


# pretrained_model = gensim.models.KeyedVectors.load_word2vec_format('PubMed-and-PMC-ri.tar.gz', binary=True)
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In [36]:
corpus_in_pretrained_model = []
for word in vocabs:
  if word in pretrained_model:
    corpus_in_pretrained_model.append(word)
  else:
    print(word) #
2172-11-2
2113-1-30
2113-1-20
2100-11-1
05:21 PM
2113-1-21
2113-1-22
02:37 AM

2113-1-25
2113-2-3
05:17 AM

03:25 AM

PO2
Calc
05:24 AM
2113-2-1
12:18 PM
04:47 AM

2113-1-31
2113-2-6
BUN
WBC
Hematocrit
04:05 AM

2100-11-5
2172-11-9
BMI
2113-2-7
2113-2-4
03:30 AM

Stick
Alkaline Phosphate
03:42 AM

Total Bilirubin
2113-2-8
TF
NPO
Ionized Calcium

49 year old
2172-10-31
02:55 AM
63 kg
40461,Nutrition,"Subjective
11:55 AM
178 cm
01:50 AM

04:00 AM

03:32 AM
GI
33 mm
2181-6-4
02:50 AM
04:51 PM

CT
2113-1-15
NGT
48 mm
IU/L

04:35 AM

11:36 PM
08:00 AM
MD
01:06 AM
200 ml

PEG
65 mm
137 mEq
30 mm
PMH
2181-6-5
IU/L
07:16 AM

111 mEq
IV
04:00 AM
09:19 AM

2100-10-31
Advance
07:26 AM
11:46 AM
2100-11-4
2113-1-18
45ml
BEE
1.2-1.4
03:53 AM
Thiamine
s/p MVR
Nutren Pulmonary
12:22 AM
75.3 kg
this morning
26 mEq
Bowel
61565,Nutrition,"Objective
10 ml
142 mEq
3.9 mEq
65 ml
Identifier 1372
12:03 AM
168 cm
41 mm
2172-11-1
06:06 PM
Nafcillin
02:31 AM
1.3 g/kg
05:19 PM
07:52 AM
08:00 PM
40 ml
Identifier 1550
First
22-25 cal/kg
PTA
Heparin
Cont Bg
109 mm
Phenytoin
02:44 PM
12:00 PM
Dilantin
02:34 AM
Colace
2100-10-30
33.9 %
Isosource 1.5
Folic Acid
ABX
38 mm
Multi
Ranitidine
Goal
15 ml
20mEq
3.6 mEq
64.4 kg
101%
NKFA
LR @ 10
72 kg
146 mEq
113 mm
1620kcal/73.4
76-88
1575-1764
35.2 %
07:15 AM

TID
02:00 AM
12:03 PM
77%
07:59 AM

RN
2113-1-23
Debridement of Aortic Valve
Identifier 1684
57.8 kg
40461,Nutrition,"Ht
10 ml q4h Goal
Nutren Pulmonary Full
100%
02:26 PM

65 kg
78-91
Likely Adequate
TPN
57 year old
OSH
65ml
34 mm
88.2 kg
117%
Esmolol
30 ml water q8h

2100-11-1*
Identifier 2584
Nicotine Patch
1625-[**2114
30 years
119%
2113-1-19
70.5 kg
45 ml
145 mm
12:00 AM
108 mEq
27.2 %
85%
CATEGORY
40493,Nutrition,"Objective
Identifier 5307
Diet
37 mm
17610,Nutrition,"Patient
88%
IVC
TEXT

Replete c/ Fiber @65mL
MICU
33.8 %
11:05 AM
SS
Replete with Fiber
2172-11-3
SLP-
earlier today
Abd soft/+bs

01:34 PM
2172-11-5
02:24 AM
2027**]-2200
Abx
1760-2200
20-25 cal/kg
1800kcal/112
66 mm
75 mL
1 day
BG
Norepinephrine drip
last night
05:48 PM
10:00 AM
4.3 mEq
61 mm
31 mm
06:24 PM
39.5 %
Tube
Identifier 1312
NI
Createnine
29.7 %
15ml
D5
40 mEq
PPN
ARF
PA
Monday
Isosource HN @
Physician Note
this day
Pantoprazole
108 mm
Isosource 1.5cal
31.5 %
Calorie
Nutren Pulmonary @
2113-1-29
06:00 PM
30.1 %
50 ml
30 ml water q4h
105 mEq
ND
30.3 %
Banana
100 ml
8 am this morning
2113-1-26
NBS
rehab s/p fall
2+
AVR
MVR
12/7-8)
MV
AV
1620kcal/73
1 TPN
Coumadin
09:13 AM
2181-6-3
12:30 AM
32.7 %
Obese
1513-1720
1.2-1.5
78 year old
S/P
Le Forte
4-6 hours
5%
Dextrose
99573,Nutrition,"Subjective
O2
PACU
24-48hrs
Identifier 1687
58054,Nutrition,"Comments
Identifier 2337
XRT
30 mEq
98.2 kg
59 kg
166%
68.8 kg
polymyalgia
NIDDM
greater than 150
Lasix
the weekend
CCU
Fibersource
1728kcal/76
70.8 kg
Multiple Vitamins
06:00 AM
145 mEq
11:00 PM
26.9 %
270drextrose/80protein/35fat
10 ml q6h Goal
60 ml
Peg
Mitral
S & S
s/p  PEG
70 ml
20 ml
First Name4
27.0 %
17 - 18
29mm
26.1 %
thin liquid

PRN
10:00 PM
SUBJECT_ID
In [37]:
tsne_plot(pretrained_model,corpus_in_pretrained_model,True)
No description has been provided for this image
In [38]:
# Entity Visualizer
from spacy import displacy
for i in range(len(doc)):
  displacy.render(doc[i], style="ent", jupyter=True)
  print('*********************************************************************************************************************************************************************')
SUBJECT_ID GPE , CATEGORY NORP , TEXT PERSON
*********************************************************************************************************************************************************************
17610,Nutrition,"Patient CARDINAL transferred to MICU ORG for concern for aspiration. Diet ORG changed
*********************************************************************************************************************************************************************
to NPO ORG ; NGT ORG in for medication. Noted plan to transition to comfort
*********************************************************************************************************************************************************************
focused care.
*********************************************************************************************************************************************************************
Will sign off at this time. Please consult if needed. Pager *[**Numeric Identifier 5307 DATE **]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40493,Nutrition,"Objective CARDINAL
*********************************************************************************************************************************************************************
Pertinent medications: RISS, SS ORG lytes, thiamin, folate, lasix, bowel
*********************************************************************************************************************************************************************
regimen, MOM, reglan, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
93 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
120 CARDINAL
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 08:57 AM
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
15 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
0.6 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
137 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.9 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
106 mEq/L
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
24 mEq/L
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
66 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 08:57 AM
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
41 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 08:57 AM
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.42 CARDINAL units
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 08:57 AM
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.0 CARDINAL units
*********************************************************************************************************************************************************************
[** 2172-11-1 DATE **] 06:06 PM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
28 mEq/L
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 08:57 AM
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
2.6 g/dL
*********************************************************************************************************************************************************************
[** 2172-11-3 DATE **] 02:24 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
8.7 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
4.5 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.11 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2172-11-5 DATE **] 01:34 PM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.2 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-9 DATE **] 01:50 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Fibersource HN@60mL/hr ( 1728 DATE
*********************************************************************************************************************************************************************
kcals/73 gr aa) not infusing
*********************************************************************************************************************************************************************
GI: Abd soft/+bs PERSON
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
Specifics:
*********************************************************************************************************************************************************************
Pt extubated earlier today TIME . Pt was previously tolerating TF GPE
*********************************************************************************************************************************************************************
s @ goal,
*********************************************************************************************************************************************************************
meeting 100% PERCENT estimated nutrition needs. Anticipate diet advancement as
*********************************************************************************************************************************************************************
able.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Advance diet per team c/ swallow eval if pt shows s/s of aspiration and
*********************************************************************************************************************************************************************
advance diet per SLP- PRODUCT vs place NGT ORG and resume TF ORG 's if unable to take
*********************************************************************************************************************************************************************
po
*********************************************************************************************************************************************************************
Will follow plan -please page c/ ?'s #[**Numeric Identifier 1684 DATE **]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40493,Nutrition,"Subjective
*********************************************************************************************************************************************************************
intubated
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
168 cm QUANTITY
*********************************************************************************************************************************************************************
65 kg QUANTITY
*********************************************************************************************************************************************************************
23.1 CARDINAL
*********************************************************************************************************************************************************************
Ideal body weight
*********************************************************************************************************************************************************************
% Ideal body weight
*********************************************************************************************************************************************************************
Adjusted weight
*********************************************************************************************************************************************************************
Usual body weight
*********************************************************************************************************************************************************************
% Usual body weight
*********************************************************************************************************************************************************************
64.4 kg QUANTITY
*********************************************************************************************************************************************************************
101% PERCENT
*********************************************************************************************************************************************************************
Diagnosis: S/P Fall
*********************************************************************************************************************************************************************
PMH ORG : etoh, smoker, cirrhosis
*********************************************************************************************************************************************************************
Food allergies and intolerances: NKFA ORG
*********************************************************************************************************************************************************************
Pertinent medications: fentanyl, LR @ 10 ORG ml/hr, lasix, versed, RISS, IV GPE
*********************************************************************************************************************************************************************
abx, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
155 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
151 CARDINAL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 08:00 AM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
17 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
0.8 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
146 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.6 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
111 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
29 mEq/L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
113 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
41 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.46 CARDINAL units
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.0 CARDINAL units
*********************************************************************************************************************************************************************
[** 2172-11-1 DATE **] 06:06 PM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
30 mEq/L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
3.0 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
8.1 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
2.5 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.16 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
1.7 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
14 IU/L
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
73 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
43 IU/L
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
3.4 mg/dL
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
23.2 K/uL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 01:06 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
9.1 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 01:06 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
27.2 % PERCENT
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 01:06 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: NPO replete with fiber @ 60 CARDINAL
*********************************************************************************************************************************************************************
ml/hr
*********************************************************************************************************************************************************************
GI ORG : OGT
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
At risk for malnutrition
*********************************************************************************************************************************************************************
Pt at risk due to: NPO ORG / hypocaloric diet
*********************************************************************************************************************************************************************
Estimated Nutritional Needs
*********************************************************************************************************************************************************************
Calories: 1625-[**2114 CARDINAL **] ( 25-30 TIME cal/kg)
*********************************************************************************************************************************************************************
Protein: 78-91 CARDINAL ( 1.2-1.4 CARDINAL g/kg)
*********************************************************************************************************************************************************************
Fluid: per team
*********************************************************************************************************************************************************************
Estimation of previous intake: Likely Adequate WORK_OF_ART
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate
*********************************************************************************************************************************************************************
Specifics: 57 year old DATE male transferred from OSH ORG , intubated there. Pt
*********************************************************************************************************************************************************************
S/P fall CT ORG shows Stage IV splenic laceration. Tolerating TF with
*********************************************************************************************************************************************************************
minimal residuals [**Name8 ( MD GPE ) **] RN. Current TF ORG provides 1440 DATE kcals/89 g Pro.
*********************************************************************************************************************************************************************
Recommend changing TF to better meet nutritional needs.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
1. Check chemistry 10 CARDINAL panel daily DATE
*********************************************************************************************************************************************************************
2. Change TF to goal of Fibersource HN @ 65ml ORDINAL /hr ( 1872 DATE kcals/83 g
*********************************************************************************************************************************************************************
Pro)
*********************************************************************************************************************************************************************
3 CARDINAL . Pls page with questions [**Numeric Identifier 2584 DATE **]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40493,Nutrition,"Subjective
*********************************************************************************************************************************************************************
intubated
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
168 cm QUANTITY
*********************************************************************************************************************************************************************
65 kg QUANTITY
*********************************************************************************************************************************************************************
23.1 CARDINAL
*********************************************************************************************************************************************************************
Ideal body weight
*********************************************************************************************************************************************************************
% Ideal body weight
*********************************************************************************************************************************************************************
Adjusted weight
*********************************************************************************************************************************************************************
Usual body weight
*********************************************************************************************************************************************************************
% Usual body weight
*********************************************************************************************************************************************************************
64.4 kg QUANTITY
*********************************************************************************************************************************************************************
101% PERCENT
*********************************************************************************************************************************************************************
Diagnosis: S/P Fall
*********************************************************************************************************************************************************************
PMH ORG : etoh, smoker, cirrhosis
*********************************************************************************************************************************************************************
Food allergies and intolerances: NKFA ORG
*********************************************************************************************************************************************************************
Pertinent medications: fentanyl, LR @ 10 ORG ml/hr, lasix, versed, RISS, IV GPE
*********************************************************************************************************************************************************************
abx, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
155 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
151 CARDINAL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 08:00 AM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
17 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
0.8 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
146 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.6 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
111 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
29 mEq/L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
113 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
41 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.46 CARDINAL units
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.0 CARDINAL units
*********************************************************************************************************************************************************************
[** 2172-11-1 DATE **] 06:06 PM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
30 mEq/L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
3.0 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
8.1 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
2.5 mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.16 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 11:55 AM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
1.7 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 12:18 PM TIME
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
14 IU/L
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
73 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
43 IU/L
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
3.4 mg/dL
*********************************************************************************************************************************************************************
[** 2172-10-31 DATE **] 02:55 AM TIME
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
23.2 K/uL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 01:06 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
9.1 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 01:06 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
27.2 % PERCENT
*********************************************************************************************************************************************************************
[** 2172-11-2 DATE **] 01:06 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: NPO replete with fiber @ 60 CARDINAL
*********************************************************************************************************************************************************************
ml/hr
*********************************************************************************************************************************************************************
GI ORG : OGT
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
At risk for malnutrition
*********************************************************************************************************************************************************************
Pt at risk due to: NPO ORG / hypocaloric diet
*********************************************************************************************************************************************************************
Estimated Nutritional Needs
*********************************************************************************************************************************************************************
Calories: 1625-[**2114 CARDINAL **] ( 25-30 TIME cal/kg)
*********************************************************************************************************************************************************************
Protein: 78-91 CARDINAL ( 1.2-1.4 CARDINAL g/kg)
*********************************************************************************************************************************************************************
Fluid: per team
*********************************************************************************************************************************************************************
Estimation of previous intake: Likely Adequate WORK_OF_ART
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate
*********************************************************************************************************************************************************************
Specifics: 57 year old DATE male transferred from OSH ORG , intubated there. Pt
*********************************************************************************************************************************************************************
S/P fall CT ORG shows Stage IV splenic laceration. Tolerating TF with
*********************************************************************************************************************************************************************
minimal residuals [**Name8 ( MD GPE ) **] RN. Current TF ORG provides 1440 DATE kcals/89 g Pro.
*********************************************************************************************************************************************************************
Recommend changing TF to better meet nutritional needs.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
1. Check chemistry 10 CARDINAL panel daily DATE
*********************************************************************************************************************************************************************
2. Change TF to goal of Fibersource HN @ 65ml ORDINAL /hr ( 1872 DATE kcals/83 g
*********************************************************************************************************************************************************************
Pro)
*********************************************************************************************************************************************************************
3 CARDINAL . Pls page with questions [**Numeric Identifier 2584 DATE **]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
61565,Nutrition,"Objective CARDINAL
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY
*********************************************************************************************************************************************************************
88.2 kg QUANTITY
*********************************************************************************************************************************************************************
27.8 CARDINAL
*********************************************************************************************************************************************************************
Ideal body weight
*********************************************************************************************************************************************************************
% Ideal body weight
*********************************************************************************************************************************************************************
Adjusted weight
*********************************************************************************************************************************************************************
Usual body weight
*********************************************************************************************************************************************************************
% Usual body weight
*********************************************************************************************************************************************************************
75.3 kg QUANTITY
*********************************************************************************************************************************************************************
117% PERCENT
*********************************************************************************************************************************************************************
Diagnosis: Head Bleed
*********************************************************************************************************************************************************************
PMH ORG : DM.
*********************************************************************************************************************************************************************
Food allergies and intolerances:
*********************************************************************************************************************************************************************
Pertinent medications: Esmolol PERSON , famotidine, colace, lytes ss, dilantin PERSON ,
*********************************************************************************************************************************************************************
ssri, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
143 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
155 CARDINAL
*********************************************************************************************************************************************************************
[** 2100-11-1* DATE *] 02:00 AM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
18 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
0.8 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
142 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
4.1 mEq/L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
111 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
26 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
109 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 04:35 AM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
38 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 04:35 AM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.48 CARDINAL units
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 04:35 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
29 mEq/L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 04:35 AM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
3.8 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2100-10-30 DATE **] 03:27 AM
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
8.9 MONEY mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
2.5 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.22 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2100-10-31 DATE **] 02:41 AM
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.3 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Phenytoin PERSON ( Dilantin PERSON )
*********************************************************************************************************************************************************************
10.1 ug/mL
*********************************************************************************************************************************************************************
[** 2100-10-31 DATE **] 02:34 AM TIME
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
12.1 CARDINAL K/uL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
11.9 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
33.9 % PERCENT
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Replete with fiber Full
*********************************************************************************************************************************************************************
strength; Goal PERSON rate: 65 ml QUANTITY /hr
*********************************************************************************************************************************************************************
Residual Check: q4h Hold feeding for residual >= : 200 ml QUANTITY
*********************************************************************************************************************************************************************
GI ORG :
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
At risk for malnutrition
*********************************************************************************************************************************************************************
Pt at risk due to: NPO ORG / hypocaloric diet
*********************************************************************************************************************************************************************
Estimated Nutritional Needs
*********************************************************************************************************************************************************************
Calories: [** 2027**]-2200 CARDINAL ( BEE ORG x or / 22-25 cal/kg QUANTITY )
*********************************************************************************************************************************************************************
Protein: 114 CARDINAL ( 1.3 g/kg QUANTITY )
*********************************************************************************************************************************************************************
Fluid:
*********************************************************************************************************************************************************************
Estimation of previous intake: Adequate
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate
*********************************************************************************************************************************************************************
Specifics:
*********************************************************************************************************************************************************************
72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital
*********************************************************************************************************************************************************************
SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on
*********************************************************************************************************************************************************************
TF GPE yesterday DATE , currently tol goal TF without issue, per chart, pt with +
*********************************************************************************************************************************************************************
gag, will plan to extubate this am. If unable to extubate, will need
*********************************************************************************************************************************************************************
to change TF ORG to better meet pt's needs.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Tube feeding recommendations:
*********************************************************************************************************************************************************************
Check chemistry 10 CARDINAL panel daily DATE and replete
*********************************************************************************************************************************************************************
Cont Bg PERSON management
*********************************************************************************************************************************************************************
Pplease page [**Numeric Identifier 1550 DATE **] if has ?
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
61565,Nutrition,"Objective CARDINAL
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY est.
*********************************************************************************************************************************************************************
88.2 kg QUANTITY
*********************************************************************************************************************************************************************
27.8 CARDINAL
*********************************************************************************************************************************************************************
Ideal body weight
*********************************************************************************************************************************************************************
% Ideal body weight
*********************************************************************************************************************************************************************
Adjusted weight
*********************************************************************************************************************************************************************
Usual body weight
*********************************************************************************************************************************************************************
% Usual body weight
*********************************************************************************************************************************************************************
75.3 kg QUANTITY
*********************************************************************************************************************************************************************
117% PERCENT
*********************************************************************************************************************************************************************
Diagnosis: Head Bleed
*********************************************************************************************************************************************************************
PMH ORG : DM, HTN
*********************************************************************************************************************************************************************
Food allergies and intolerances:
*********************************************************************************************************************************************************************
Pertinent medications: Esmolol PERSON , famotidine, colace, lytes ss, dilantin PERSON ,
*********************************************************************************************************************************************************************
ssri, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
143 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
155 CARDINAL
*********************************************************************************************************************************************************************
[** 2100-11-1* DATE *] 02:00 AM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
18 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
0.8 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
142 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
4.1 mEq/L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
111 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
26 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
109 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 04:35 AM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
38 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 04:35 AM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.48 CARDINAL units
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 04:35 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
29 mEq/L
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 04:35 AM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
3.8 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2100-10-30 DATE **] 03:27 AM
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
8.9 MONEY mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
2.5 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.22 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2100-10-31 DATE **] 02:41 AM
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.3 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Phenytoin PERSON ( Dilantin PERSON )
*********************************************************************************************************************************************************************
10.1 ug/mL
*********************************************************************************************************************************************************************
[** 2100-10-31 DATE **] 02:34 AM TIME
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
12.1 CARDINAL K/uL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
11.9 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
33.9 % PERCENT
*********************************************************************************************************************************************************************
[** 2100-11-1 DATE **] 02:37 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Replete with fiber Full
*********************************************************************************************************************************************************************
strength; Goal PERSON rate: 65 ml QUANTITY /hr (1560kcal/96.7g pro)
*********************************************************************************************************************************************************************
Residual Check: q4h Hold feeding for residual >= : 200 ml QUANTITY
*********************************************************************************************************************************************************************
GI: Soft, Non-distended, Non-tender
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
At risk for malnutrition
*********************************************************************************************************************************************************************
Pt at risk due to: NPO
*********************************************************************************************************************************************************************
Estimated Nutritional Needs
*********************************************************************************************************************************************************************
Calories: 1760-2200 DATE ( BEE ORG x or / 20-25 cal/kg TIME )
*********************************************************************************************************************************************************************
Protein: 114 CARDINAL ( 1.3 g/kg QUANTITY )
*********************************************************************************************************************************************************************
Fluid: per team
*********************************************************************************************************************************************************************
Estimation of previous intake: likely adequate
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate
*********************************************************************************************************************************************************************
Specifics:
*********************************************************************************************************************************************************************
72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital
*********************************************************************************************************************************************************************
SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on
*********************************************************************************************************************************************************************
TF GPE yesterday DATE , currently tol goal TF without issue, per chart, pt with +
*********************************************************************************************************************************************************************
gag, cough, [**Last Name (LF) 1080 CARDINAL **], [** First ORDINAL Name3 (LF) **] plan to extubate this am. If unable to
*********************************************************************************************************************************************************************
extubate, will need to change TF ORG to better meet pt's needs.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Tube feeding recommendations: increase TF to Replete with Fiber ORG goal
*********************************************************************************************************************************************************************
75ml/hr ( 1800kcal/112 CARDINAL g pro)
*********************************************************************************************************************************************************************
Check chemistry 10 CARDINAL panel daily DATE and replete prn
*********************************************************************************************************************************************************************
Cont Bg PERSON management
*********************************************************************************************************************************************************************
Please page [**Numeric Identifier 1550 DATE **] if has ?
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
61565,Nutrition,"Objective CARDINAL
*********************************************************************************************************************************************************************
Pertinent medications: pepcid, Heparin NORP , docusate, Abx PERSON , RISS, others
*********************************************************************************************************************************************************************
noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
128 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
140 CARDINAL
*********************************************************************************************************************************************************************
[** 2100-11-4 DATE **] 08:00 PM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
18 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
0.7 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
140 mEq/L
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.9 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
103 mEq/L
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
28 mEq/L
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
94.[**Numeric Identifier 126**] mm Hg
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 07:26 AM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
37 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 07:26 AM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.49 CARDINAL units
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 07:26 AM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
7.0 CARDINAL units
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 11:05 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
29 mEq/L
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 07:26 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
8.7 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-4 DATE **] 02:31 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
3.0 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-4 DATE **] 02:31 AM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.3 mg/dL
*********************************************************************************************************************************************************************
[** 2100-11-4 DATE **] 02:31 AM TIME
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
12.2 K/uL
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
12.0 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
33.8 % PERCENT
*********************************************************************************************************************************************************************
[** 2100-11-5 DATE **] 03:32 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Replete c/ Fiber @65mL ORG /hr ( 1560 DATE
*********************************************************************************************************************************************************************
kcals/97 gr aa)
*********************************************************************************************************************************************************************
GI: Abd: soft/+bs
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate
*********************************************************************************************************************************************************************
Specifics:
*********************************************************************************************************************************************************************
Pt s/p trach/PEG/and IVC ORG filter yesterday DATE . TF GPE
*********************************************************************************************************************************************************************
s currently infusing @
*********************************************************************************************************************************************************************
10mL/hr. Current goal Rx will meet 88% PERCENT estimated kcal and 85% PERCENT estimated
*********************************************************************************************************************************************************************
aa needs therefore, will need to increase goal rate of TF GPE
*********************************************************************************************************************************************************************
s to avoid
*********************************************************************************************************************************************************************
underfeeding. .
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Multivitamin / Mineral supplement: vua TF GPE
*********************************************************************************************************************************************************************
Tube feeding recommendations: Increase TF goal rate to 75 mL QUANTITY /hr ( 1800 CARDINAL
*********************************************************************************************************************************************************************
kcals/112 gr aa)
*********************************************************************************************************************************************************************
BG GPE management as you are
*********************************************************************************************************************************************************************
Please page c/?'s #[**Numeric Identifier 1684 DATE **]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
98851,Nutrition,"Patient has been NPO ORG and/or on unsupplemented clear liquid diet for 1 CARDINAL
*********************************************************************************************************************************************************************
days. If patient's diet is not able to be advanced and tolerated,
*********************************************************************************************************************************************************************
[**Street Address(1) 1511 DATE **] for nutrition support
*********************************************************************************************************************************************************************
Potential for nutrition risk. Patient being monitored. Current
*********************************************************************************************************************************************************************
intervention if any, listed below:
*********************************************************************************************************************************************************************
Comments:
*********************************************************************************************************************************************************************
Pt s/p LRRT [** 4-17 CARDINAL **], c/b hypoxia and increased O2 CARDINAL requirements in PACU GPE , on
*********************************************************************************************************************************************************************
clears, tolerating well. Clinically improving, possibly transfer to
*********************************************************************************************************************************************************************
floor soon.
*********************************************************************************************************************************************************************
If unable to advance diet further in 24-48hrs CARDINAL , patient may benefit from
*********************************************************************************************************************************************************************
nutrition support.
*********************************************************************************************************************************************************************
Will f/u with progress, po tolerance.
*********************************************************************************************************************************************************************
Please page w/ questions #[**Numeric Identifier 1687 DATE **]
*********************************************************************************************************************************************************************
12:11
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
58054,Nutrition,"Comments CARDINAL :
*********************************************************************************************************************************************************************
Screening per hospital nutrition protocol. Noted patient is comfort
*********************************************************************************************************************************************************************
measures only. No nutrition support indicated at this time. Will sign
*********************************************************************************************************************************************************************
off. Please consult if needed. #[**Numeric Identifier 2337 DATE **]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
99573,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
patient confused, unable to answer questions per chart patient had
*********************************************************************************************************************************************************************
difficulty swallowing PTA ORG d/t damaged salivary glands from XRT ORG
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
168 cm QUANTITY
*********************************************************************************************************************************************************************
98.2 kg QUANTITY
*********************************************************************************************************************************************************************
34.9 CARDINAL
*********************************************************************************************************************************************************************
Ideal body weight
*********************************************************************************************************************************************************************
% Ideal body weight
*********************************************************************************************************************************************************************
Adjusted weight
*********************************************************************************************************************************************************************
Usual body weight
*********************************************************************************************************************************************************************
% Usual body weight
*********************************************************************************************************************************************************************
59 kg QUANTITY
*********************************************************************************************************************************************************************
166% PERCENT
*********************************************************************************************************************************************************************
68.8 kg QUANTITY
*********************************************************************************************************************************************************************
Diagnosis: facial fx
*********************************************************************************************************************************************************************
PMH ORG : breast ca, tongue ca, ovarian ca, polymyalgia GPE , NIDDM ORG , vertigo, hx
*********************************************************************************************************************************************************************
of falls
*********************************************************************************************************************************************************************
Food allergies and intolerances: none noted
*********************************************************************************************************************************************************************
Pertinent medications: RISS, IV GPE abx, protonix, KCl ( 30 mEq CARDINAL ), Dextrose PERSON
*********************************************************************************************************************************************************************
5% PERCENT 1/2 normal saline with KCl, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
206
*********************************************************************************************************************************************************************
[** 2181-6-5 DATE **] 08:00 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
222 CARDINAL
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 08:00 PM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
11 mg/dL
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 11:36 PM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
0.5 mg/dL
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 11:36 PM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
134 mEq/L
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 11:36 PM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
4.1 mEq/L
*********************************************************************************************************************************************************************
[** 2181-6-5 DATE **] 09:13 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
98 mEq/L
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 11:36 PM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
26 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 11:36 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
6.5 CARDINAL units
*********************************************************************************************************************************************************************
[** 2181-6-3 DATE **] 12:30 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
8.5 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 11:36 PM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
2.3 mg/dL
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 11:36 PM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.0 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2181-6-4 DATE **] 11:36 PM TIME
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
9.2 K/uL
*********************************************************************************************************************************************************************
[** 2181-6-5 DATE **] 12:03 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
10.9 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2181-6-5 DATE **] 12:03 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
32.7 % PERCENT
*********************************************************************************************************************************************************************
[** 2181-6-5 DATE **] 12:03 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: NPO
*********************************************************************************************************************************************************************
GI ORG : obese NORP , + bowel sounds
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
Obese NORP , At risk for malnutrition
*********************************************************************************************************************************************************************
Pt at risk due to: NPO ORG / hypocaloric diet, trauma
*********************************************************************************************************************************************************************
Estimated Nutritional Needs based on adjusted body wt
*********************************************************************************************************************************************************************
Calories: 1513-1720 DATE ( 22-25 cal/kg TIME )
*********************************************************************************************************************************************************************
Protein: 83 CARDINAL -103 ( 1.2-1.5 CARDINAL g/kg)
*********************************************************************************************************************************************************************
Fluid: per team
*********************************************************************************************************************************************************************
Estimation of previous intake: unknown
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate d/t NPO ORG status
*********************************************************************************************************************************************************************
Specifics: 78 year old DATE female admitted from outside hospital S/P ORG fall
*********************************************************************************************************************************************************************
at home with multiple injuries including Le Forte FAC fx, multiple sinus
*********************************************************************************************************************************************************************
fx ORG , orbital fx ORG , facial and tongue swelling. Patient seen by SLP on [** 6 CARDINAL -4**]
*********************************************************************************************************************************************************************
who recommended patient remain NPO ORG . If patient
*********************************************************************************************************************************************************************
s diet cannot be
*********************************************************************************************************************************************************************
advanced consider initiating tube feedings to prevent further
*********************************************************************************************************************************************************************
nutritional decline.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
If diet cannot be advanced recommend starting tube feedings start with
*********************************************************************************************************************************************************************
Replete with Fiber @ 15 ml QUANTITY /hr advance to goal of 65 ml QUANTITY /hr = 1560 DATE
*********************************************************************************************************************************************************************
kcals/97 g protein
*********************************************************************************************************************************************************************
Check residuals q 4-6 hours TIME hold if greater than 150 CARDINAL cc
*********************************************************************************************************************************************************************
Monitor lytes and glucose with initiation of tube feeding
*********************************************************************************************************************************************************************
Change to non-dextrose IV GPE fluids once tube feedings started
*********************************************************************************************************************************************************************
Implement any SLP recs
*********************************************************************************************************************************************************************
Will continue to follow page [**Numeric Identifier 1372 DATE **] with questions
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40461,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
oriented x1
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
74.9 kg ([** 2113-2-3 DATE **] 04:00 AM TIME )
*********************************************************************************************************************************************************************
19.9
*********************************************************************************************************************************************************************
Pertinent medications: Ranitidine PERSON , Multi GPE -vitamin, ABX ORG , Folic Acid ORG ,
*********************************************************************************************************************************************************************
Thiamine PERSON , Coumadin PERSON , Lasix PERSON , Colace PERSON (held), KCl ( 20mEq CARDINAL repletion x2),
*********************************************************************************************************************************************************************
Magnesium sulfate ( 2 CARDINAL g repletion), Heparin NORP drip
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
105 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
127 CARDINAL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 12:00 PM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
25 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
1.8 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
142 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.9 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
110 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
25 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
65 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (venous)
*********************************************************************************************************************************************************************
48 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
30 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PCO2 (venous)
*********************************************************************************************************************************************************************
33 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.46 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
pH (venous)
*********************************************************************************************************************************************************************
7.43 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.5 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 07:16 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) venous
*********************************************************************************************************************************************************************
23 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
2.1 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 02:44 PM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
7.5 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
3.0 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.08 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 11:46 AM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.3 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
23 IU/L
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
51 IU/L
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
24 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Amylase
*********************************************************************************************************************************************************************
40 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
0.3 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Triglyceride
*********************************************************************************************************************************************************************
120 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-25 DATE **] 03:36 AM
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
9.3 CARDINAL K/uL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
8.9 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
27.0 % PERCENT
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Diet: NPO
*********************************************************************************************************************************************************************
Calorie counts: [** 2 CARDINAL -1**] - 17 - 18 CARDINAL
*********************************************************************************************************************************************************************
GI ORG : soft, (+) bowel sounds; 500ml stool today DATE
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate
*********************************************************************************************************************************************************************
Specifics:
*********************************************************************************************************************************************************************
49 year old DATE male with mitral valve endocarditis, preop stroke s/p MVR ORG
*********************************************************************************************************************************************************************
( 29mm QUANTITY [** First ORDINAL Name8 (NamePattern2) **] [** First Name4 ORG (NamePattern1) 1104 DATE **] [**Last Name (NamePattern1) 1105 DATE **]) debridement of aortic valve [** 1-27 CARDINAL **]. Patient with
*********************************************************************************************************************************************************************
prolonged poor po
*********************************************************************************************************************************************************************
s during admit. Was on ground solids + thin liquid WORK_OF_ART
*********************************************************************************************************************************************************************
diet, refusing po
*********************************************************************************************************************************************************************
s at times. s/p calories counts
*********************************************************************************************************************************************************************
880 FAC calories [** 2 CARDINAL -1**]
*********************************************************************************************************************************************************************
and 270 CARDINAL calories [** 2 CARDINAL -2**]. Seen for video swallow evaluation this AM
*********************************************************************************************************************************************************************
SLP recommend NPO ORG . Per discussion with PA
*********************************************************************************************************************************************************************
plan for PEG ORG placement as
*********************************************************************************************************************************************************************
previously unable to place NGT ORG and feel that patient will pull it out.
*********************************************************************************************************************************************************************
Agree with PEG for long term nutrition support to prevent further
*********************************************************************************************************************************************************************
nutritional decline and optimize nutrition for post-op healing. Noted
*********************************************************************************************************************************************************************
multiple lyte repletions.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Current diet / nutrition support is appropriate: continue
*********************************************************************************************************************************************************************
NPO ORG per SLP recommendations
*********************************************************************************************************************************************************************
o SLP follow up when appropriate
*********************************************************************************************************************************************************************
Tube feeding recommendations: Agree with PEG ORG
*********************************************************************************************************************************************************************
o Once feeding tube placed, recommend begin Isosource 1.5 ORG @
*********************************************************************************************************************************************************************
20ml/hr, advance as tolerated to goal of 45ml ORDINAL /hr = 1620 DATE calories and
*********************************************************************************************************************************************************************
73g protein
*********************************************************************************************************************************************************************
Check residuals, hold tube feed if greater than 200ml
*********************************************************************************************************************************************************************
Multivitamin / Mineral supplement: continue current
*********************************************************************************************************************************************************************
Check chemistry 10 CARDINAL panel daily DATE
*********************************************************************************************************************************************************************
o Replete lytes PRN ORG
*********************************************************************************************************************************************************************
Will follow, page if questions *[**Numeric Identifier 606 CARDINAL **]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40461,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
Patient oob, tube feed running at 40 ml QUANTITY /hr.
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Pertinent medications: noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
119
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 08:00 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
150
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 10:00 PM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
31 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 02:50 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
2.0 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 02:50 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
143 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 02:50 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.4 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 07:52 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
109 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 02:50 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
25 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 02:50 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
65 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (venous)
*********************************************************************************************************************************************************************
48 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
30 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PCO2 (venous)
*********************************************************************************************************************************************************************
33 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.46 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
pH (venous)
*********************************************************************************************************************************************************************
7.43 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 05:19 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.5 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 07:16 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) venous
*********************************************************************************************************************************************************************
23 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
2.2 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
7.8 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
4.0 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.07 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 05:19 PM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.1 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 07:52 AM TIME
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
21 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
50 IU/L
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
23 IU/L
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Amylase
*********************************************************************************************************************************************************************
45 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
0.4 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Triglyceride
*********************************************************************************************************************************************************************
120 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-25 DATE **] 03:36 AM
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
10.1 CARDINAL K/uL
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 02:50 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
8.3 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 02:50 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
26.1 % PERCENT
*********************************************************************************************************************************************************************
[** 2113-2-8 DATE **] 02:50 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Replete with fiber Full
*********************************************************************************************************************************************************************
strength;
*********************************************************************************************************************************************************************
Starting rate: 40 ml QUANTITY /hr; Advance PERSON rate by 20 ml QUANTITY q6h Goal rate: 70 ml QUANTITY /hr
*********************************************************************************************************************************************************************
Residual Check: q4h Hold feeding for residual >= : 200 ml QUANTITY
*********************************************************************************************************************************************************************
Flush w/ 30 ml water q8h QUANTITY
*********************************************************************************************************************************************************************
GI: Abdominal: Soft, Non-distended, Non-tender, Bowel PERSON sounds present,
*********************************************************************************************************************************************************************
PEG site clean and dry.
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
49 year old DATE male s/p PEG ORG placement yesterday DATE , tube feed started
*********************************************************************************************************************************************************************
yesterday DATE , tolerated Isosource 1.5 ORG well, tube feed ordered changed to
*********************************************************************************************************************************************************************
Replete with fiber this morning TIME , spoke to team, does not want patient
*********************************************************************************************************************************************************************
on special tube feed, recommend change to Fibersource ORG HN as current
*********************************************************************************************************************************************************************
formula provides excess amount of protein. Noted discharge planning in
*********************************************************************************************************************************************************************
progress.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Tube feeding: Fibersource HN goal 60ml/hr ( 1728kcal/76 CARDINAL g
*********************************************************************************************************************************************************************
protein)
*********************************************************************************************************************************************************************
Check chemistry 10 CARDINAL panel daily, replete prn
*********************************************************************************************************************************************************************
Continue BS management
*********************************************************************************************************************************************************************
[**Numeric Identifier 943**] if has question
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40461,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
Patient asleep.
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
70.8 kg QUANTITY ([** 2113-2-7 DATE **] 04:00 AM TIME )
*********************************************************************************************************************************************************************
19.9
*********************************************************************************************************************************************************************
Pertinent medications: Multiple Vitamins PERSON , Furosemide, Docusate Sodium,
*********************************************************************************************************************************************************************
others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
157 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
158 CARDINAL
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 06:00 AM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
33 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
1.9 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
145 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.7 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
111 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
24 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
65 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (venous)
*********************************************************************************************************************************************************************
48 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
30 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PCO2 (venous)
*********************************************************************************************************************************************************************
33 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.46 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
pH (venous)
*********************************************************************************************************************************************************************
7.43 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.5 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 07:16 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) venous
*********************************************************************************************************************************************************************
23 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
2.2 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
7.8 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
4.0 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.08 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 11:46 AM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.0 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 11:00 PM TIME
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
21 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
50 IU/L
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
23 IU/L
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Amylase
*********************************************************************************************************************************************************************
45 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
0.4 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] 04:05 AM TIME
*********************************************************************************************************************************************************************
Triglyceride
*********************************************************************************************************************************************************************
120 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-25 DATE **] 03:36 AM
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
12.3 K/uL
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
8.8 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
26.9 % PERCENT
*********************************************************************************************************************************************************************
[** 2113-2-7 DATE **] 04:00 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Non-Standard TPN For Date:
*********************************************************************************************************************************************************************
[** 2113-2-6 DATE **] (1600ml, 270drextrose/80protein/35fat CARDINAL )
*********************************************************************************************************************************************************************
Replete with fiber Full strength;
*********************************************************************************************************************************************************************
Starting rate: 10 ml QUANTITY /hr; Advance PERSON rate by 10 ml q6h Goal QUANTITY rate: 60 ml QUANTITY /hr
*********************************************************************************************************************************************************************
Residual Check: q4h Hold feeding for residual >= : 200 ml QUANTITY
*********************************************************************************************************************************************************************
Flush w/ 30 ml water q8h QUANTITY
*********************************************************************************************************************************************************************
GI: Abdominal: Soft, Non-distended, Non-tender, Bowel PERSON sounds present,
*********************************************************************************************************************************************************************
PEG site clean and dry. Peg PERSON to gravity drainage
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
49 year old DATE male with Mitral NORP valve endocarditis, preop stroke s/p MVR ORG
*********************************************************************************************************************************************************************
and debridement of aortic valve [** 1-27 CARDINAL **], patient failed S & S ORG evaluation,
*********************************************************************************************************************************************************************
TPN ORG started over the weekend DATE while awaiting PEG PERSON . PEG PERSON placed
*********************************************************************************************************************************************************************
yesterday DATE , plan to start tube feeds today DATE , current tube feed order not
*********************************************************************************************************************************************************************
meeting patient
*********************************************************************************************************************************************************************
s estimated need. Noted patient with post op fluid
*********************************************************************************************************************************************************************
gain, recommend fluid restricted formula.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Consider ordering day 1 TPN QUANTITY tonight TIME while slowly advancing
*********************************************************************************************************************************************************************
tube feed
*********************************************************************************************************************************************************************
Tube feeding: Isosource 1.5cal ORG goal 45ml/hr ( 1620kcal/73 CARDINAL g
*********************************************************************************************************************************************************************
protein)
*********************************************************************************************************************************************************************
Start tube feed at 15ml ORDINAL /hr and adv slowly as tol
*********************************************************************************************************************************************************************
Check chemistry 10 CARDINAL panel daily, replete prn
*********************************************************************************************************************************************************************
Continue BS management
*********************************************************************************************************************************************************************
[**Numeric Identifier 943**] if has question
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40461,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
patient sleeping
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
74.9 kg ([** 2113-2-3 DATE **] 04:00 AM TIME )
*********************************************************************************************************************************************************************
19.9
*********************************************************************************************************************************************************************
Pertinent medications: D5 PRODUCT @10 ml/hr, KCl ( 40 mEq CARDINAL repletion), RISS, IV GPE
*********************************************************************************************************************************************************************
abx, lansoprazole, famotidine, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
73
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 12:00 PM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
135 CARDINAL
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 12:00 AM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
25 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
1.6 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
140 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.5 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
108 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
65 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (venous)
*********************************************************************************************************************************************************************
48 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
30 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PCO2 (venous)
*********************************************************************************************************************************************************************
33 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.46 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
pH (venous)
*********************************************************************************************************************************************************************
7.43 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.5 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 07:16 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) venous
*********************************************************************************************************************************************************************
23 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
2.1 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 02:44 PM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
7.3 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
3.1 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.08 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 11:46 AM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.0 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
23 IU/L
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
51 IU/L
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
24 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Amylase
*********************************************************************************************************************************************************************
40 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
0.3 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-3 DATE **] 05:24 AM TIME
*********************************************************************************************************************************************************************
Triglyceride
*********************************************************************************************************************************************************************
120 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-25 DATE **] 03:36 AM
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
13.4 K/uL
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
9.8 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
29.7 % PERCENT
*********************************************************************************************************************************************************************
[** 2113-2-4 DATE **] 03:42 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: NPO
*********************************************************************************************************************************************************************
GI ORG : soft, hypoactive bowel sounds
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
Specifics: Patient s/p video swallow [** 2 CARDINAL -3**] which recommended patient be
*********************************************************************************************************************************************************************
NPO ORG . Received consult for PPN ORG recommendations. Per discussion with PA ORG ,
*********************************************************************************************************************************************************************
plan is for PEG ORG placement on Monday DATE and to supplement nutrition with
*********************************************************************************************************************************************************************
parenteral nutrition until PEG ORG is able to be used. Patient with PICC,
*********************************************************************************************************************************************************************
Day 1 TPN ordered to start tonight TIME . NGT ORG was attempted earlier in week
*********************************************************************************************************************************************************************
and was unable to placed and team thinks patient would pull it out.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
1. Day 1 TPN tonight
*********************************************************************************************************************************************************************
2. Pending glycemic control advance to goal TPN ORG 1.6L ( 270 CARDINAL g
*********************************************************************************************************************************************************************
dextrose/80 g amino acids/35 g lipids)= 1588 DATE kcals
*********************************************************************************************************************************************************************
3 CARDINAL . Check TG hold lipids if greater than 400 CARDINAL
*********************************************************************************************************************************************************************
4. Once PEG placed start with Isosource HN @ ORG 15 ml QUANTITY /hr advance to
*********************************************************************************************************************************************************************
goal of 45 ml QUANTITY /hr = 1620 DATE kcals/ 73 CARDINAL g protein
*********************************************************************************************************************************************************************
5. Will follow page [**Numeric Identifier 1372 DATE **] with questions
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40461,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
Patient asleep, [**Name8 ( MD GPE ) 77**] RN, patient refused all po food or supplements.
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
70.5 kg QUANTITY ([** 2113-1-19 DATE **] 08:00 AM TIME )
*********************************************************************************************************************************************************************
up due to fluid
*********************************************************************************************************************************************************************
19.9
*********************************************************************************************************************************************************************
Ideal body weight
*********************************************************************************************************************************************************************
% Ideal body weight
*********************************************************************************************************************************************************************
Adjusted weight
*********************************************************************************************************************************************************************
Usual body weight
*********************************************************************************************************************************************************************
% Usual body weight
*********************************************************************************************************************************************************************
75.3 kg QUANTITY
*********************************************************************************************************************************************************************
119% PERCENT
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
100%
*********************************************************************************************************************************************************************
Diagnosis: MITRAL VALVE ENDOCARDITIS
*********************************************************************************************************************************************************************
PMHx: None - no medical care x 30 years DATE
*********************************************************************************************************************************************************************
Food allergies and intolerances: not available
*********************************************************************************************************************************************************************
Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine ORG ,
*********************************************************************************************************************************************************************
FoLIC Acid, Nicotine Patch NORP , Heparin, Docusate Sodium , Nafcillin GPE ,
*********************************************************************************************************************************************************************
Potassium Chloride, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
117 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
25 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
1.5 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
137 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.3 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
103 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
PO2 PERSON (venous)
*********************************************************************************************************************************************************************
145 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-15 DATE **] 04:51 PM TIME
*********************************************************************************************************************************************************************
PCO2 (venous)
*********************************************************************************************************************************************************************
34 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-15 DATE **] 04:51 PM TIME
*********************************************************************************************************************************************************************
pH (venous)
*********************************************************************************************************************************************************************
7.45 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-15 DATE **] 04:51 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.0 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-18 DATE **] 12:03 PM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) venous
*********************************************************************************************************************************************************************
24 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-15 DATE **] 04:51 PM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
1.9 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-1-18 DATE **] 07:15 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
7.1 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
4.8 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
1.9 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
36 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
44 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
54 IU/L EVENT
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
0.4 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
13.0 K/uL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
11.8 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
35.2 % PERCENT
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Regular; Supplement: Ensure
*********************************************************************************************************************************************************************
Plus breakfast, lunch, dinner
*********************************************************************************************************************************************************************
GI: Abdominal: Soft, Non-tender, Bowel PERSON sounds present
*********************************************************************************************************************************************************************
Extremities: Right lower extremity edema: Absent, Left lower extremity
*********************************************************************************************************************************************************************
edema
*********************************************************************************************************************************************************************
Skin: Warm, Rash: upper and lower ext, occ petechiae
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
At risk for malnutrition
*********************************************************************************************************************************************************************
Patient at risk due to: Low po intake, current illness, head CT ORG showed multipl
*********************************************************************************************************************************************************************
e small non-hemorrhagic
*********************************************************************************************************************************************************************
infarcts suspicious for septic emboli,
*********************************************************************************************************************************************************************
Estimated Nutritional Needs
*********************************************************************************************************************************************************************
Calories: 1575-1764 DATE ( BEE ORG x or / 25-28 cal/kg)
*********************************************************************************************************************************************************************
Protein: 76-88 CARDINAL ( 1.2-1.4 CARDINAL g/kg)
*********************************************************************************************************************************************************************
Fluid: per team
*********************************************************************************************************************************************************************
Calculations based on: Admit weight
*********************************************************************************************************************************************************************
Estimation of previous intake: Inadequate
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate
*********************************************************************************************************************************************************************
Specifics:
*********************************************************************************************************************************************************************
49 year old DATE male found to have staphylococcus aureus bacterial
*********************************************************************************************************************************************************************
endocarditis with severe mitral regurgitation [** 3 CARDINAL -21**] mitral valve
*********************************************************************************************************************************************************************
vegetations and flail leaflet. Patient transferred from [**Hospital **] [**Hospital1 5 CARDINAL **] for CT ORG surgery evaluation and further management.
*********************************************************************************************************************************************************************
Patient s/p speech and swallow evaluation, okay to have regular diet,
*********************************************************************************************************************************************************************
yet patient refused to take pos. spoke to team this morning TIME , team
*********************************************************************************************************************************************************************
considering NGT ORG placement.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Po as tolerance
*********************************************************************************************************************************************************************
Tube feeding recommendations: Nutren Pulmonary PERSON goal 45ml ORDINAL /hr
*********************************************************************************************************************************************************************
( 1620kcal/73.4 CARDINAL g protein)
*********************************************************************************************************************************************************************
Monitor tube feed tolerance
*********************************************************************************************************************************************************************
Check chemistry 10 CARDINAL panel daily, replete as you are doing
*********************************************************************************************************************************************************************
Consider adding phos binder if serum phos remains elevated
*********************************************************************************************************************************************************************
Start regular insulin sliding scale if serum glucose greater
*********************************************************************************************************************************************************************
than 150 mg/dL
*********************************************************************************************************************************************************************
Other: [**Numeric Identifier 943**] if has question
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40461,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
Patient asleep, [**Name8 ( MD GPE ) 77**] RN, patient refused all po food or supplements.
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
70.5 kg QUANTITY ([** 2113-1-19 DATE **] 08:00 AM TIME )
*********************************************************************************************************************************************************************
up due to fluid
*********************************************************************************************************************************************************************
19.9
*********************************************************************************************************************************************************************
Ideal body weight
*********************************************************************************************************************************************************************
% Ideal body weight
*********************************************************************************************************************************************************************
Adjusted weight
*********************************************************************************************************************************************************************
Usual body weight
*********************************************************************************************************************************************************************
% Usual body weight
*********************************************************************************************************************************************************************
75.3 kg QUANTITY
*********************************************************************************************************************************************************************
119% PERCENT
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
100%
*********************************************************************************************************************************************************************
Diagnosis: MITRAL VALVE ENDOCARDITIS
*********************************************************************************************************************************************************************
PMHx: None - no medical care x 30 years DATE
*********************************************************************************************************************************************************************
Food allergies and intolerances: not available
*********************************************************************************************************************************************************************
Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine ORG ,
*********************************************************************************************************************************************************************
FoLIC Acid, Nicotine Patch NORP , Heparin, Docusate Sodium , Nafcillin GPE ,
*********************************************************************************************************************************************************************
Potassium Chloride, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
117 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
25 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
1.5 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
137 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.3 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
103 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
PO2 PERSON (venous)
*********************************************************************************************************************************************************************
145 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-15 DATE **] 04:51 PM TIME
*********************************************************************************************************************************************************************
PCO2 (venous)
*********************************************************************************************************************************************************************
34 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-15 DATE **] 04:51 PM TIME
*********************************************************************************************************************************************************************
pH (venous)
*********************************************************************************************************************************************************************
7.45 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-15 DATE **] 04:51 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.0 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-18 DATE **] 12:03 PM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) venous
*********************************************************************************************************************************************************************
24 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-15 DATE **] 04:51 PM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
1.9 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-1-18 DATE **] 07:15 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
7.1 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
4.8 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-20 DATE **] 02:36 AM
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
IOPub message rate exceeded.
The Jupyter server will temporarily stop sending output
to the client in order to avoid crashing it.
To change this limit, set the config variable
`--ServerApp.iopub_msg_rate_limit`.

Current values:
ServerApp.iopub_msg_rate_limit=1000.0 (msgs/sec)
ServerApp.rate_limit_window=3.0 (secs)

*********************************************************************************************************************************************************************
3 CARDINAL . Will follow page [**Numeric Identifier 1372 DATE **] with questions
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40461,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
oriented x 1 CARDINAL
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
72 kg QUANTITY ([** 2113-2-1 DATE **] 04:00 AM TIME )
*********************************************************************************************************************************************************************
19.9
*********************************************************************************************************************************************************************
Pertinent medications: Ranitidine PERSON , ABX ORG , Folic Acid ORG , Thiamine ORG ,
*********************************************************************************************************************************************************************
Multi GPE -vitamin, lasix, Colace PERSON (Held), KCl ( 20mEq CARDINAL repletion x3)
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
108 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
124 CARDINAL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 12:00 AM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
28 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
2.0 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
139 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.7 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
105 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
23 mEq/L
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
65 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (venous)
*********************************************************************************************************************************************************************
48 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
30 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
PCO2 (venous)
*********************************************************************************************************************************************************************
33 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.46 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
pH (venous)
*********************************************************************************************************************************************************************
7.43 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.5 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 07:16 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-31 DATE **] 04:47 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) venous
*********************************************************************************************************************************************************************
23 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
2.2 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
7.6 mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
4.6 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.08 CARDINAL mmol/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 11:46 AM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.2 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
20 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
57 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
26 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Amylase
*********************************************************************************************************************************************************************
17 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
0.4 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Triglyceride
*********************************************************************************************************************************************************************
120 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-25 DATE **] 03:36 AM
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
18.2 K/uL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
10.4 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
31.5 % PERCENT
*********************************************************************************************************************************************************************
[** 2113-2-1 DATE **] 03:30 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Diet: Ground solids, thin
*********************************************************************************************************************************************************************
liquids; Ensure Pudding and Carnation Instant Breakfast with meals;
*********************************************************************************************************************************************************************
calorie counts [** 2 CARDINAL -1**], [** 2 CARDINAL -2**], [** 2 CARDINAL -3**]
*********************************************************************************************************************************************************************
GI ORG : soft, (+) bowel sounds; green liquid stool
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
Estimation of current intake: Inadequate
*********************************************************************************************************************************************************************
Specifics:
*********************************************************************************************************************************************************************
Patient s/p MVR ORG / AVR [** 1-27 CARDINAL **]. Extubated [** 1-30 CARDINAL **]. Seen by SLP [** 1-31 CARDINAL **] who
*********************************************************************************************************************************************************************
recommended above altered consistency diet with 1:1 CARDINAL supervision. [**Name8 ( MD GPE ) **]
*********************************************************************************************************************************************************************
RN ORG , patient took Ensure pudding and some Carnation Instant Breakfast
*********************************************************************************************************************************************************************
shake this AM with a lot of encouragement. Patient takes very small
*********************************************************************************************************************************************************************
bites and is a picky eater. RN ORG reports wife to bring in a list of
*********************************************************************************************************************************************************************
foods that patient likes. Calorie PERSON counts starting today DATE . Concerned
*********************************************************************************************************************************************************************
with nutrition status given poor po
*********************************************************************************************************************************************************************
s during admit (refusing po
*********************************************************************************************************************************************************************
s at
*********************************************************************************************************************************************************************
times), only received tube feed briefly on/off and recent surgery.
*********************************************************************************************************************************************************************
Would strongly recommend supplemental tube feed to optimize nutrition
*********************************************************************************************************************************************************************
for post-op recovery.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Current diet / nutrition support is appropriate:
*********************************************************************************************************************************************************************
Encourage/assist with po
*********************************************************************************************************************************************************************
o Encourage wife to bring in food preference list or food
*********************************************************************************************************************************************************************
o Calorie counts
*********************************************************************************************************************************************************************
please record on kitchen receipt percent
*********************************************************************************************************************************************************************
eaten
*********************************************************************************************************************************************************************
Oral supplements: Continue as ordered
*********************************************************************************************************************************************************************
Multivitamin / Mineral supplement: continue current
*********************************************************************************************************************************************************************
Tube feeding recommendations:
*********************************************************************************************************************************************************************
o Consider placing NGT ORG and beginning tube feeds to supplement
*********************************************************************************************************************************************************************
poor po
*********************************************************************************************************************************************************************
o Tube feed goal would be: Nutren Pulmonary @ PERSON 45ml/hr = 1620 DATE
*********************************************************************************************************************************************************************
calories and 73 CARDINAL g protein
*********************************************************************************************************************************************************************
Check chemistry 10 CARDINAL panel daily DATE
*********************************************************************************************************************************************************************
Will follow, page if questions *[**Numeric Identifier 606 CARDINAL **]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************
40461,Nutrition,"Subjective CARDINAL
*********************************************************************************************************************************************************************
just extubated
*********************************************************************************************************************************************************************
Objective
*********************************************************************************************************************************************************************
Height
*********************************************************************************************************************************************************************
Admit weight
*********************************************************************************************************************************************************************
Daily weight
*********************************************************************************************************************************************************************
Weight change
*********************************************************************************************************************************************************************
BMI ORG
*********************************************************************************************************************************************************************
178 cm QUANTITY
*********************************************************************************************************************************************************************
63 kg QUANTITY
*********************************************************************************************************************************************************************
76.2 kg ([** 2113-1-30 DATE **] 04:00 AM TIME )
*********************************************************************************************************************************************************************
19.9
*********************************************************************************************************************************************************************
Pertinent medications: Multivitamins, others noted
*********************************************************************************************************************************************************************
Labs:
*********************************************************************************************************************************************************************
Value
*********************************************************************************************************************************************************************
Date
*********************************************************************************************************************************************************************
Glucose
*********************************************************************************************************************************************************************
106 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 07:59 AM TIME
*********************************************************************************************************************************************************************
Glucose Finger Stick FAC
*********************************************************************************************************************************************************************
93
*********************************************************************************************************************************************************************
[** 2113-1-29 DATE **] 06:00 PM TIME
*********************************************************************************************************************************************************************
BUN ORG
*********************************************************************************************************************************************************************
20 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Creatinine
*********************************************************************************************************************************************************************
1.6 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Sodium
*********************************************************************************************************************************************************************
137 mEq CARDINAL /L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Potassium
*********************************************************************************************************************************************************************
3.5 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Chloride
*********************************************************************************************************************************************************************
104 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
TCO2
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (arterial)
*********************************************************************************************************************************************************************
85.[**Numeric Identifier 299**] mm Hg
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 09:19 AM TIME
*********************************************************************************************************************************************************************
PO2 PERSON (venous)
*********************************************************************************************************************************************************************
48 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
PCO2 (arterial)
*********************************************************************************************************************************************************************
33 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 09:19 AM TIME
*********************************************************************************************************************************************************************
PCO2 (venous)
*********************************************************************************************************************************************************************
33 mm QUANTITY Hg
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (arterial)
*********************************************************************************************************************************************************************
7.41 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 09:19 AM TIME
*********************************************************************************************************************************************************************
pH (venous)
*********************************************************************************************************************************************************************
7.43 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
pH (urine)
*********************************************************************************************************************************************************************
5.0 CARDINAL units
*********************************************************************************************************************************************************************
[** 2113-1-25 DATE **] 02:26 PM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) arterial
*********************************************************************************************************************************************************************
22 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 09:19 AM TIME
*********************************************************************************************************************************************************************
CO2 ( Calc PERSON ) venous
*********************************************************************************************************************************************************************
23 mEq/L
*********************************************************************************************************************************************************************
[** 2113-1-21 DATE **] 05:21 PM TIME
*********************************************************************************************************************************************************************
Albumin
*********************************************************************************************************************************************************************
2.2 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Calcium non-ionized
*********************************************************************************************************************************************************************
8.4 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Phosphorus
*********************************************************************************************************************************************************************
5.2 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Ionized Calcium WORK_OF_ART
*********************************************************************************************************************************************************************
1.09 mmol/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 07:59 AM TIME
*********************************************************************************************************************************************************************
Magnesium
*********************************************************************************************************************************************************************
2.1 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
ALT
*********************************************************************************************************************************************************************
20 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Alkaline Phosphate ORG
*********************************************************************************************************************************************************************
57 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
AST
*********************************************************************************************************************************************************************
26 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Amylase
*********************************************************************************************************************************************************************
17 IU/L
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Total Bilirubin PERSON
*********************************************************************************************************************************************************************
0.4 CARDINAL mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Triglyceride
*********************************************************************************************************************************************************************
120 mg/dL
*********************************************************************************************************************************************************************
[** 2113-1-25 DATE **] 03:36 AM
*********************************************************************************************************************************************************************
WBC ORG
*********************************************************************************************************************************************************************
11.5 CARDINAL K/uL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Hgb
*********************************************************************************************************************************************************************
10.3 CARDINAL g/dL
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Hematocrit PRODUCT
*********************************************************************************************************************************************************************
30.1 % PERCENT
*********************************************************************************************************************************************************************
[** 2113-1-30 DATE **] 03:25 AM TIME
*********************************************************************************************************************************************************************
Current diet order / nutrition support: Nutren Pulmonary Full PERSON strength;
*********************************************************************************************************************************************************************
Starting rate: 10 ml QUANTITY /hr; Advance PERSON rate by 10 ml q4h Goal QUANTITY rate: 50 ml QUANTITY /hr
*********************************************************************************************************************************************************************
Residual Check: q4h Hold feeding for residual >= : 200 ml QUANTITY
*********************************************************************************************************************************************************************
Flush w/ 30 ml water q4h QUANTITY ( not running)
*********************************************************************************************************************************************************************
GI ORG : soft, flesiseal in place
*********************************************************************************************************************************************************************
SKIN: stage 2 CARDINAL wounds
*********************************************************************************************************************************************************************
Assessment of Nutritional Status
*********************************************************************************************************************************************************************
49 year old DATE male admitted on [** 1-15 CARDINAL **] with endocarditis s/p MVR ORG and aortic
*********************************************************************************************************************************************************************
valve debridement on [** 1-27 CARDINAL **], patient extubated this morning TIME . Patient
*********************************************************************************************************************************************************************
well known to me from CCU ORG , patient with minimal nutrition since
*********************************************************************************************************************************************************************
hospital admission (previously refused po food and nutrition
*********************************************************************************************************************************************************************
supplements in the ccu, received 1 day DATE of tube feed prior to OR.
*********************************************************************************************************************************************************************
Patient at very high risk for malnutrition, highly recommend replace
*********************************************************************************************************************************************************************
feeding tube, restart tube feed as temporary nutrition support for post
*********************************************************************************************************************************************************************
op recovery.
*********************************************************************************************************************************************************************
Medical Nutrition Therapy Plan - Recommend the Following
*********************************************************************************************************************************************************************
Adv diet if remains medically stable
*********************************************************************************************************************************************************************
Continue tube feed as supplemental nutrition support: goal
*********************************************************************************************************************************************************************
Nutren Pulmonary PERSON goal 45ml ORDINAL /hr to provide 1620kcal/73.4g protein
*********************************************************************************************************************************************************************
Phos binder if serum phos remains elevated
*********************************************************************************************************************************************************************
Check chemistry 10 CARDINAL panel daily, replete prn
*********************************************************************************************************************************************************************
BS management
*********************************************************************************************************************************************************************
Other: [**Numeric Identifier 943**]
*********************************************************************************************************************************************************************
"
*********************************************************************************************************************************************************************

Analysis with SciSpacy¶

In [39]:
import scispacy
import spacy
In [40]:
# nlp = spacy.load('en_core_web_sm')
notes = []
with open('ICD9-E8881_Patients_NutritionNotes.csv', 'r') as fin:
  lines = fin.readlines()
  for line in lines:
    notes.append(line)
print(notes)
print(len(notes))
['SUBJECT_ID,CATEGORY,TEXT\n', '17610,Nutrition,"Patient transferred to MICU for concern for aspiration.  Diet changed\n', '   to NPO; NGT in for medication.  Noted plan to transition to comfort\n', '   focused care.\n', '   Will sign off at this time.  Please consult if needed. Pager *[**Numeric Identifier 5307**]\n', '"\n', '40493,Nutrition,"Objective\n', '   Pertinent medications: RISS, SS lytes, thiamin, folate, lasix, bowel\n', '   regimen, MOM, reglan, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   93 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Glucose Finger Stick\n', '   120\n', '   [**2172-11-9**] 08:57 AM\n', '   BUN\n', '   15 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Creatinine\n', '   0.6 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2172-11-9**] 01:50 AM\n', '   Potassium\n', '   3.9 mEq/L\n', '   [**2172-11-9**] 01:50 AM\n', '   Chloride\n', '   106 mEq/L\n', '   [**2172-11-9**] 01:50 AM\n', '   TCO2\n', '   24 mEq/L\n', '   [**2172-11-9**] 01:50 AM\n', '   PO2 (arterial)\n', '   66 mm Hg\n', '   [**2172-11-9**] 08:57 AM\n', '   PCO2 (arterial)\n', '   41 mm Hg\n', '   [**2172-11-9**] 08:57 AM\n', '   pH (arterial)\n', '   7.42 units\n', '   [**2172-11-9**] 08:57 AM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2172-11-1**] 06:06 PM\n', '   CO2 (Calc) arterial\n', '   28 mEq/L\n', '   [**2172-11-9**] 08:57 AM\n', '   Albumin\n', '   2.6 g/dL\n', '   [**2172-11-3**] 02:24 AM\n', '   Calcium non-ionized\n', '   8.7 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Phosphorus\n', '   4.5 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Ionized Calcium\n', '   1.11 mmol/L\n', '   [**2172-11-5**] 01:34 PM\n', '   Magnesium\n', '   2.2 mg/dL\n', '   [**2172-11-9**] 01:50 AM\n', '   Current diet order / nutrition support: Fibersource HN@60mL/hr (1728\n', '   kcals/73 gr aa) not infusing\n', '   GI: Abd soft/+bs\n', '   Assessment of Nutritional Status\n', '   Specifics:\n', '   Pt extubated earlier today.  Pt was previously tolerating TF\n', 's @ goal,\n', '   meeting 100% estimated nutrition needs.  Anticipate diet advancement as\n', '   able.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   Advance diet per team c/ swallow eval if pt shows s/s of aspiration and\n', "   advance diet per SLP- vs place NGT and resume TF's if unable to take\n", '   po\n', "   Will follow plan -please page c/ ?'s #[**Numeric Identifier 1684**]\n", '"\n', '40493,Nutrition,"Subjective\n', '   intubated\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   168 cm\n', '   65 kg\n', '   23.1\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   64.4 kg\n', '   101%\n', '   Diagnosis: S/P Fall\n', '   PMH : etoh, smoker, cirrhosis\n', '   Food allergies and intolerances:  NKFA\n', '   Pertinent medications: fentanyl, LR @ 10 ml/hr, lasix, versed, RISS, IV\n', '   abx, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   155 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Glucose Finger Stick\n', '   151\n', '   [**2172-11-2**] 08:00 AM\n', '   BUN\n', '   17 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Creatinine\n', '   0.8 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Sodium\n', '   146 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   Potassium\n', '   3.6 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   TCO2\n', '   29 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   PO2 (arterial)\n', '   113 mm Hg\n', '   [**2172-11-2**] 11:55 AM\n', '   PCO2 (arterial)\n', '   41 mm Hg\n', '   [**2172-11-2**] 11:55 AM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2172-11-2**] 11:55 AM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2172-11-1**] 06:06 PM\n', '   CO2 (Calc) arterial\n', '   30 mEq/L\n', '   [**2172-11-2**] 11:55 AM\n', '   Albumin\n', '   3.0 g/dL\n', '   [**2172-10-31**] 02:55 AM\n', '   Calcium non-ionized\n', '   8.1 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Phosphorus\n', '   2.5 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Ionized Calcium\n', '   1.16 mmol/L\n', '   [**2172-11-2**] 11:55 AM\n', '   Magnesium\n', '   1.7 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   ALT\n', '   14 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   Alkaline Phosphate\n', '   73 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   AST\n', '   43 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   Total Bilirubin\n', '   3.4 mg/dL\n', '   [**2172-10-31**] 02:55 AM\n', '   WBC\n', '   23.2 K/uL\n', '   [**2172-11-2**] 01:06 AM\n', '   Hgb\n', '   9.1 g/dL\n', '   [**2172-11-2**] 01:06 AM\n', '   Hematocrit\n', '   27.2 %\n', '   [**2172-11-2**] 01:06 AM\n', '   Current diet order / nutrition support: NPO replete with fiber @ 60\n', '   ml/hr\n', '   GI: OGT\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', '   Pt at risk due to: NPO / hypocaloric diet\n', '   Estimated Nutritional Needs\n', '   Calories: 1625-[**2114**]  (25-30 cal/kg)\n', '   Protein: 78-91 (1.2-1.4 g/kg)\n', '   Fluid: per team\n', '   Estimation of previous intake: Likely Adequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics: 57 year old male transferred from OSH, intubated there. Pt\n', '   S/P fall  CT shows Stage IV splenic laceration. Tolerating TF with\n', '   minimal residuals [**Name8 (MD) **] RN. Current TF provides 1440 kcals/89 g Pro.\n', '   Recommend changing TF to better meet nutritional needs.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   1.       Check chemistry 10 panel daily\n', '   2.       Change TF to goal of Fibersource HN @ 65ml/hr (1872 kcals/83 g\n', '   Pro)\n', '   3.       Pls page with questions [**Numeric Identifier 2584**]\n', '"\n', '40493,Nutrition,"Subjective\n', '   intubated\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   168 cm\n', '   65 kg\n', '   23.1\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   64.4 kg\n', '   101%\n', '   Diagnosis: S/P Fall\n', '   PMH : etoh, smoker, cirrhosis\n', '   Food allergies and intolerances:  NKFA\n', '   Pertinent medications: fentanyl, LR @ 10 ml/hr, lasix, versed, RISS, IV\n', '   abx, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   155 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Glucose Finger Stick\n', '   151\n', '   [**2172-11-2**] 08:00 AM\n', '   BUN\n', '   17 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Creatinine\n', '   0.8 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Sodium\n', '   146 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   Potassium\n', '   3.6 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   TCO2\n', '   29 mEq/L\n', '   [**2172-11-2**] 12:18 PM\n', '   PO2 (arterial)\n', '   113 mm Hg\n', '   [**2172-11-2**] 11:55 AM\n', '   PCO2 (arterial)\n', '   41 mm Hg\n', '   [**2172-11-2**] 11:55 AM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2172-11-2**] 11:55 AM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2172-11-1**] 06:06 PM\n', '   CO2 (Calc) arterial\n', '   30 mEq/L\n', '   [**2172-11-2**] 11:55 AM\n', '   Albumin\n', '   3.0 g/dL\n', '   [**2172-10-31**] 02:55 AM\n', '   Calcium non-ionized\n', '   8.1 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Phosphorus\n', '   2.5 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   Ionized Calcium\n', '   1.16 mmol/L\n', '   [**2172-11-2**] 11:55 AM\n', '   Magnesium\n', '   1.7 mg/dL\n', '   [**2172-11-2**] 12:18 PM\n', '   ALT\n', '   14 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   Alkaline Phosphate\n', '   73 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   AST\n', '   43 IU/L\n', '   [**2172-10-31**] 02:55 AM\n', '   Total Bilirubin\n', '   3.4 mg/dL\n', '   [**2172-10-31**] 02:55 AM\n', '   WBC\n', '   23.2 K/uL\n', '   [**2172-11-2**] 01:06 AM\n', '   Hgb\n', '   9.1 g/dL\n', '   [**2172-11-2**] 01:06 AM\n', '   Hematocrit\n', '   27.2 %\n', '   [**2172-11-2**] 01:06 AM\n', '   Current diet order / nutrition support: NPO replete with fiber @ 60\n', '   ml/hr\n', '   GI: OGT\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', '   Pt at risk due to: NPO / hypocaloric diet\n', '   Estimated Nutritional Needs\n', '   Calories: 1625-[**2114**]  (25-30 cal/kg)\n', '   Protein: 78-91 (1.2-1.4 g/kg)\n', '   Fluid: per team\n', '   Estimation of previous intake: Likely Adequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics: 57 year old male transferred from OSH, intubated there. Pt\n', '   S/P fall  CT shows Stage IV splenic laceration. Tolerating TF with\n', '   minimal residuals [**Name8 (MD) **] RN. Current TF provides 1440 kcals/89 g Pro.\n', '   Recommend changing TF to better meet nutritional needs.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   1.       Check chemistry 10 panel daily\n', '   2.       Change TF to goal of Fibersource HN @ 65ml/hr (1872 kcals/83 g\n', '   Pro)\n', '   3.       Pls page with questions [**Numeric Identifier 2584**]\n', '"\n', '61565,Nutrition,"Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   88.2 kg\n', '   27.8\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   75.3 kg\n', '   117%\n', '   Diagnosis: Head Bleed\n', '   PMH : DM.\n', '   Food allergies and intolerances:\n', '   Pertinent medications: Esmolol, famotidine, colace, lytes ss, dilantin,\n', '   ssri, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   143 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Glucose Finger Stick\n', '   155\n', '   [**2100-11-1**] 02:00 AM\n', '   BUN\n', '   18 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Creatinine\n', '   0.8 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Sodium\n', '   142 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   Potassium\n', '   4.1 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   TCO2\n', '   26 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   PO2 (arterial)\n', '   109 mm Hg\n', '   [**2100-11-1**] 04:35 AM\n', '   PCO2 (arterial)\n', '   38 mm Hg\n', '   [**2100-11-1**] 04:35 AM\n', '   pH (arterial)\n', '   7.48 units\n', '   [**2100-11-1**] 04:35 AM\n', '   CO2 (Calc) arterial\n', '   29 mEq/L\n', '   [**2100-11-1**] 04:35 AM\n', '   Albumin\n', '   3.8 g/dL\n', '   [**2100-10-30**] 03:27 AM\n', '   Calcium non-ionized\n', '   8.9 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Phosphorus\n', '   2.5 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Ionized Calcium\n', '   1.22 mmol/L\n', '   [**2100-10-31**] 02:41 AM\n', '   Magnesium\n', '   2.3 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Phenytoin (Dilantin)\n', '   10.1 ug/mL\n', '   [**2100-10-31**] 02:34 AM\n', '   WBC\n', '   12.1 K/uL\n', '   [**2100-11-1**] 02:37 AM\n', '   Hgb\n', '   11.9 g/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Hematocrit\n', '   33.9 %\n', '   [**2100-11-1**] 02:37 AM\n', '   Current diet order / nutrition support: Replete with fiber Full\n', '   strength; Goal rate: 65 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   GI:\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', '   Pt at risk due to: NPO / hypocaloric diet\n', '   Estimated Nutritional Needs\n', '   Calories: [**2027**]-2200 (BEE x  or / 22-25 cal/kg)\n', '   Protein: 114 (1.3 g/kg)\n', '   Fluid:\n', '   Estimation of previous intake: Adequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital\n', '   SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on\n', '   TF yesterday, currently tol goal TF without issue, per chart, pt with +\n', '   gag, will plan to extubate this am.  If unable to extubate, will need\n', "   to change TF to better meet pt's needs.\n", '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   Tube feeding recommendations:\n', '   Check chemistry 10 panel daily and replete\n', '   Cont Bg management\n', '   Pplease page [**Numeric Identifier 1550**] if has ?\n', '"\n', '61565,Nutrition,"Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm est.\n', '   88.2 kg\n', '   27.8\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   75.3 kg\n', '   117%\n', '   Diagnosis: Head Bleed\n', '   PMH : DM, HTN\n', '   Food allergies and intolerances:\n', '   Pertinent medications: Esmolol, famotidine, colace, lytes ss, dilantin,\n', '   ssri, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   143 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Glucose Finger Stick\n', '   155\n', '   [**2100-11-1**] 02:00 AM\n', '   BUN\n', '   18 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Creatinine\n', '   0.8 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Sodium\n', '   142 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   Potassium\n', '   4.1 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   TCO2\n', '   26 mEq/L\n', '   [**2100-11-1**] 02:37 AM\n', '   PO2 (arterial)\n', '   109 mm Hg\n', '   [**2100-11-1**] 04:35 AM\n', '   PCO2 (arterial)\n', '   38 mm Hg\n', '   [**2100-11-1**] 04:35 AM\n', '   pH (arterial)\n', '   7.48 units\n', '   [**2100-11-1**] 04:35 AM\n', '   CO2 (Calc) arterial\n', '   29 mEq/L\n', '   [**2100-11-1**] 04:35 AM\n', '   Albumin\n', '   3.8 g/dL\n', '   [**2100-10-30**] 03:27 AM\n', '   Calcium non-ionized\n', '   8.9 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Phosphorus\n', '   2.5 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Ionized Calcium\n', '   1.22 mmol/L\n', '   [**2100-10-31**] 02:41 AM\n', '   Magnesium\n', '   2.3 mg/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Phenytoin (Dilantin)\n', '   10.1 ug/mL\n', '   [**2100-10-31**] 02:34 AM\n', '   WBC\n', '   12.1 K/uL\n', '   [**2100-11-1**] 02:37 AM\n', '   Hgb\n', '   11.9 g/dL\n', '   [**2100-11-1**] 02:37 AM\n', '   Hematocrit\n', '   33.9 %\n', '   [**2100-11-1**] 02:37 AM\n', '   Current diet order / nutrition support: Replete with fiber Full\n', '   strength; Goal rate: 65 ml/hr (1560kcal/96.7g pro)\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   GI: Soft, Non-distended, Non-tender\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', '   Pt at risk due to: NPO\n', '   Estimated Nutritional Needs\n', '   Calories: 1760-2200 (BEE x  or / 20-25 cal/kg)\n', '   Protein: 114 (1.3 g/kg)\n', '   Fluid:  per team\n', '   Estimation of previous intake: likely adequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital\n', '   SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on\n', '   TF yesterday, currently tol goal TF without issue, per chart, pt with +\n', '   gag, cough, [**Last Name (LF) 1080**], [**First Name3 (LF) **] plan to extubate this am.  If unable to\n', "   extubate, will need to change TF to better meet pt's needs.\n", '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   Tube feeding recommendations:  increase TF to Replete with Fiber goal\n', '   75ml/hr (1800kcal/112g pro)\n', '   Check chemistry 10 panel daily and replete prn\n', '   Cont Bg management\n', '   Please page [**Numeric Identifier 1550**] if has ?\n', '"\n', '61565,Nutrition,"Objective\n', '   Pertinent medications: pepcid, Heparin, docusate, Abx, RISS, others\n', '   noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   128 mg/dL\n', '   [**2100-11-5**] 03:32 AM\n', '   Glucose Finger Stick\n', '   140\n', '   [**2100-11-4**] 08:00 PM\n', '   BUN\n', '   18 mg/dL\n', '   [**2100-11-5**] 03:32 AM\n', '   Creatinine\n', '   0.7 mg/dL\n', '   [**2100-11-5**] 03:32 AM\n', '   Sodium\n', '   140 mEq/L\n', '   [**2100-11-5**] 03:32 AM\n', '   Potassium\n', '   3.9 mEq/L\n', '   [**2100-11-5**] 03:32 AM\n', '   Chloride\n', '   103 mEq/L\n', '   [**2100-11-5**] 03:32 AM\n', '   TCO2\n', '   28 mEq/L\n', '   [**2100-11-5**] 03:32 AM\n', '   PO2 (arterial)\n', '   94.[**Numeric Identifier 126**] mm Hg\n', '   [**2100-11-5**] 07:26 AM\n', '   PCO2 (arterial)\n', '   37 mm Hg\n', '   [**2100-11-5**] 07:26 AM\n', '   pH (arterial)\n', '   7.49 units\n', '   [**2100-11-5**] 07:26 AM\n', '   pH (urine)\n', '   7.0 units\n', '   [**2100-11-5**] 11:05 AM\n', '   CO2 (Calc) arterial\n', '   29 mEq/L\n', '   [**2100-11-5**] 07:26 AM\n', '   Calcium non-ionized\n', '   8.7 mg/dL\n', '   [**2100-11-4**] 02:31 AM\n', '   Phosphorus\n', '   3.0 mg/dL\n', '   [**2100-11-4**] 02:31 AM\n', '   Magnesium\n', '   2.3 mg/dL\n', '   [**2100-11-4**] 02:31 AM\n', '   WBC\n', '   12.2 K/uL\n', '   [**2100-11-5**] 03:32 AM\n', '   Hgb\n', '   12.0 g/dL\n', '   [**2100-11-5**] 03:32 AM\n', '   Hematocrit\n', '   33.8 %\n', '   [**2100-11-5**] 03:32 AM\n', '   Current diet order / nutrition support: Replete c/ Fiber @65mL/hr (1560\n', '   kcals/97 gr aa)\n', '   GI: Abd: soft/+bs\n', '   Assessment of Nutritional Status\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   Pt s/p trach/PEG/and IVC filter yesterday.  TF\n', 's currently infusing @\n', '   10mL/hr. Current goal Rx will meet 88% estimated kcal and 85% estimated\n', '   aa needs therefore, will need to increase goal rate of TF\n', 's to avoid\n', '   underfeeding.  .\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   Multivitamin / Mineral supplement: vua TF\n', '   Tube feeding recommendations: Increase TF goal rate to 75 mL/hr (1800\n', '   kcals/112 gr aa)\n', '   BG management as you are\n', "   Please page c/?'s #[**Numeric Identifier 1684**]\n", '"\n', '98851,Nutrition,"Patient has been NPO and/or on unsupplemented clear liquid diet for 1\n', "   days. If patient's diet is not able to be advanced and tolerated,\n", '   [**Street Address(1) 1511**] for nutrition support\n', '   Potential for nutrition risk. Patient being monitored. Current\n', '   intervention if any, listed below:\n', '   Comments:\n', '   Pt s/p LRRT [**4-17**], c/b hypoxia and increased O2 requirements in PACU, on\n', '   clears, tolerating well. Clinically improving, possibly transfer to\n', '   floor soon.\n', '   If unable to advance diet further in 24-48hrs, patient may benefit from\n', '   nutrition support.\n', '   Will f/u with progress, po tolerance.\n', '   Please page w/ questions #[**Numeric Identifier 1687**]\n', '   12:11\n', '"\n', '58054,Nutrition,"Comments:\n', '   Screening per hospital nutrition protocol. Noted patient is comfort\n', '   measures only.  No nutrition support indicated at this time.  Will sign\n', '   off. Please consult if needed. #[**Numeric Identifier 2337**]\n', '"\n', '99573,Nutrition,"Subjective\n', '   patient confused, unable to answer questions per chart patient had\n', '   difficulty swallowing PTA d/t damaged salivary glands from XRT\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   168 cm\n', '   98.2 kg\n', '   34.9\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   59 kg\n', '   166%\n', '   68.8 kg\n', '   Diagnosis: facial fx\n', '   PMH : breast ca, tongue ca, ovarian ca, polymyalgia, NIDDM, vertigo, hx\n', '   of falls\n', '   Food allergies and intolerances:  none noted\n', '   Pertinent medications: RISS, IV abx, protonix, KCl (30 mEq), Dextrose\n', '   5% 1/2 normal saline with KCl, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   206\n', '   [**2181-6-5**] 08:00 AM\n', '   Glucose Finger Stick\n', '   222\n', '   [**2181-6-4**] 08:00 PM\n', '   BUN\n', '   11 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   Creatinine\n', '   0.5 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   Sodium\n', '   134 mEq/L\n', '   [**2181-6-4**] 11:36 PM\n', '   Potassium\n', '   4.1 mEq/L\n', '   [**2181-6-5**] 09:13 AM\n', '   Chloride\n', '   98 mEq/L\n', '   [**2181-6-4**] 11:36 PM\n', '   TCO2\n', '   26 mEq/L\n', '   [**2181-6-4**] 11:36 PM\n', '   pH (urine)\n', '   6.5 units\n', '   [**2181-6-3**] 12:30 AM\n', '   Calcium non-ionized\n', '   8.5 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   Phosphorus\n', '   2.3 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   Magnesium\n', '   2.0 mg/dL\n', '   [**2181-6-4**] 11:36 PM\n', '   WBC\n', '   9.2 K/uL\n', '   [**2181-6-5**] 12:03 AM\n', '   Hgb\n', '   10.9 g/dL\n', '   [**2181-6-5**] 12:03 AM\n', '   Hematocrit\n', '   32.7 %\n', '   [**2181-6-5**] 12:03 AM\n', '   Current diet order / nutrition support: NPO\n', '   GI: obese, + bowel sounds\n', '   Assessment of Nutritional Status\n', '   Obese, At risk for malnutrition\n', '   Pt at risk due to: NPO / hypocaloric diet, trauma\n', '   Estimated Nutritional Needs based on adjusted body wt\n', '   Calories: 1513-1720 (22-25 cal/kg)\n', '   Protein: 83-103 (1.2-1.5 g/kg)\n', '   Fluid: per team\n', '   Estimation of previous intake: unknown\n', '   Estimation of current intake: Inadequate d/t NPO status\n', '   Specifics: 78 year old female admitted from outside hospital S/P fall\n', '   at home with multiple injuries including Le Forte fx, multiple sinus\n', '   fx, orbital fx, facial and tongue swelling. Patient seen by SLP on [**6-4**]\n', '   who recommended patient remain NPO. If patient\n', 's diet cannot be\n', '   advanced consider initiating tube feedings to prevent further\n', '   nutritional decline.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   If diet cannot be advanced recommend starting tube feedings start with\n', '   Replete with Fiber @ 15 ml/hr advance to goal of 65 ml/hr =1560\n', '   kcals/97 g protein\n', '   Check residuals q 4-6 hours hold if greater than 150 cc\n', '   Monitor lytes and glucose with initiation of tube feeding\n', '   Change to non-dextrose IV fluids once tube feedings started\n', '   Implement any SLP recs\n', '   Will continue to follow page [**Numeric Identifier 1372**] with questions\n', '"\n', '40461,Nutrition,"Subjective\n', '   oriented x1\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   74.9 kg ([**2113-2-3**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: Ranitidine, Multi-vitamin, ABX, Folic Acid,\n', '   Thiamine, Coumadin, Lasix, Colace (held), KCl (20mEq repletion x2),\n', '   Magnesium sulfate (2g repletion), Heparin drip\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   105 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Glucose Finger Stick\n', '   127\n', '   [**2113-2-3**] 12:00 PM\n', '   BUN\n', '   25 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Creatinine\n', '   1.8 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Sodium\n', '   142 mEq/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Potassium\n', '   3.9 mEq/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Chloride\n', '   110 mEq/L\n', '   [**2113-2-3**] 05:24 AM\n', '   TCO2\n', '   25 mEq/L\n', '   [**2113-2-3**] 05:24 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.1 g/dL\n', '   [**2113-2-1**] 02:44 PM\n', '   Calcium non-ionized\n', '   7.5 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Phosphorus\n', '   3.0 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Ionized Calcium\n', '   1.08 mmol/L\n', '   [**2113-1-30**] 11:46 AM\n', '   Magnesium\n', '   2.3 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   ALT\n', '   23 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Alkaline Phosphate\n', '   51 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   AST\n', '   24 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Amylase\n', '   40 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Total Bilirubin\n', '   0.3 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   9.3 K/uL\n', '   [**2113-2-3**] 05:24 AM\n', '   Hgb\n', '   8.9 g/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Hematocrit\n', '   27.0 %\n', '   [**2113-2-3**] 05:24 AM\n', '   Current diet order / nutrition support: Diet: NPO\n', '   Calorie counts: [**2-1**] - 17 - 18\n', '   GI: soft, (+) bowel sounds; 500ml stool today\n', '   Assessment of Nutritional Status\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   49 year old male with mitral valve endocarditis, preop stroke s/p MVR\n', '   (29mm [**First Name8 (NamePattern2) **] [**First Name4 (NamePattern1) 1104**] [**Last Name (NamePattern1) 1105**]) debridement of aortic valve [**1-27**].  Patient with\n', '   prolonged poor po\n', 's during admit.  Was on ground solids + thin liquid\n', '   diet, refusing po\n', 's at times.  s/p calories counts\n', ' 880 calories [**2-1**]\n', '   and 270 calories [**2-2**].  Seen for video swallow evaluation this AM\n', '   SLP recommend NPO.  Per discussion with PA\n', ' plan for PEG placement as\n', '   previously unable to place NGT and feel that patient will pull it out.\n', '   Agree with PEG for long term nutrition support to prevent further\n', '   nutritional decline and optimize nutrition for post-op healing.  Noted\n', '   multiple lyte repletions.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Current diet / nutrition support is appropriate: continue\n', '   NPO per SLP recommendations\n', '   o         SLP follow up when appropriate\n', '          Tube feeding recommendations: Agree with PEG\n', '   o         Once feeding tube placed, recommend begin Isosource 1.5 @\n', '   20ml/hr, advance as tolerated to goal of 45ml/hr = 1620 calories and\n', '   73g protein\n', '          Check residuals, hold tube feed if greater than 200ml\n', '          Multivitamin / Mineral supplement: continue current\n', '          Check chemistry 10 panel daily\n', '   o         Replete lytes PRN\n', '   Will follow, page if questions *[**Numeric Identifier 606**]\n', '"\n', '40461,Nutrition,"Subjective\n', '   Patient oob, tube feed running at 40 ml/hr.\n', '   Objective\n', '   Pertinent medications: noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   119\n', '   [**2113-2-8**] 08:00 AM\n', '   Glucose Finger Stick\n', '   150\n', '   [**2113-2-7**] 10:00 PM\n', '   BUN\n', '   31 mg/dL\n', '   [**2113-2-8**] 02:50 AM\n', '   Creatinine\n', '   2.0 mg/dL\n', '   [**2113-2-8**] 02:50 AM\n', '   Sodium\n', '   143 mEq/L\n', '   [**2113-2-8**] 02:50 AM\n', '   Potassium\n', '   3.4 mEq/L\n', '   [**2113-2-8**] 07:52 AM\n', '   Chloride\n', '   109 mEq/L\n', '   [**2113-2-8**] 02:50 AM\n', '   TCO2\n', '   25 mEq/L\n', '   [**2113-2-8**] 02:50 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-2-7**] 05:19 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.2 g/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Calcium non-ionized\n', '   7.8 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Phosphorus\n', '   4.0 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Ionized Calcium\n', '   1.07 mmol/L\n', '   [**2113-2-7**] 05:19 PM\n', '   Magnesium\n', '   2.1 mg/dL\n', '   [**2113-2-8**] 07:52 AM\n', '   ALT\n', '   21 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Alkaline Phosphate\n', '   50 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   AST\n', '   23 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Amylase\n', '   45 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   10.1 K/uL\n', '   [**2113-2-8**] 02:50 AM\n', '   Hgb\n', '   8.3 g/dL\n', '   [**2113-2-8**] 02:50 AM\n', '   Hematocrit\n', '   26.1 %\n', '   [**2113-2-8**] 02:50 AM\n', '   Current diet order / nutrition support: Replete with fiber Full\n', '   strength;\n', '   Starting rate: 40 ml/hr; Advance rate by 20 ml q6h Goal rate: 70 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   Flush w/ 30 ml water q8h\n', '   GI: Abdominal: Soft, Non-distended, Non-tender, Bowel sounds present,\n', '   PEG site clean and dry.\n', '   Assessment of Nutritional Status\n', '   49 year old male s/p  PEG placement yesterday, tube feed started\n', '   yesterday, tolerated Isosource 1.5 well, tube feed ordered changed to\n', '   Replete with fiber this morning, spoke to team, does not want patient\n', '   on special tube feed, recommend change to Fibersource HN as current\n', '   formula provides excess amount of protein. Noted discharge planning in\n', '   progress.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Tube feeding: Fibersource HN goal 60ml/hr ( 1728kcal/76g\n', '   protein)\n', '          Check chemistry 10 panel daily, replete prn\n', '          Continue BS management\n', '          [**Numeric Identifier 943**] if has question\n', '"\n', '40461,Nutrition,"Subjective\n', '   Patient asleep.\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   70.8 kg ([**2113-2-7**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: Multiple Vitamins, Furosemide, Docusate Sodium,\n', '   others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   157 mg/dL\n', '   [**2113-2-7**] 04:00 AM\n', '   Glucose Finger Stick\n', '   158\n', '   [**2113-2-7**] 06:00 AM\n', '   BUN\n', '   33 mg/dL\n', '   [**2113-2-7**] 04:00 AM\n', '   Creatinine\n', '   1.9 mg/dL\n', '   [**2113-2-7**] 04:00 AM\n', '   Sodium\n', '   145 mEq/L\n', '   [**2113-2-7**] 04:00 AM\n', '   Potassium\n', '   3.7 mEq/L\n', '   [**2113-2-7**] 04:00 AM\n', '   Chloride\n', '   111 mEq/L\n', '   [**2113-2-7**] 04:00 AM\n', '   TCO2\n', '   24 mEq/L\n', '   [**2113-2-7**] 04:00 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.2 g/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Calcium non-ionized\n', '   7.8 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Phosphorus\n', '   4.0 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Ionized Calcium\n', '   1.08 mmol/L\n', '   [**2113-1-30**] 11:46 AM\n', '   Magnesium\n', '   2.0 mg/dL\n', '   [**2113-2-6**] 11:00 PM\n', '   ALT\n', '   21 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Alkaline Phosphate\n', '   50 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   AST\n', '   23 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Amylase\n', '   45 IU/L\n', '   [**2113-2-6**] 04:05 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-2-6**] 04:05 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   12.3 K/uL\n', '   [**2113-2-7**] 04:00 AM\n', '   Hgb\n', '   8.8 g/dL\n', '   [**2113-2-7**] 04:00 AM\n', '   Hematocrit\n', '   26.9 %\n', '   [**2113-2-7**] 04:00 AM\n', '   Current diet order / nutrition support: Non-Standard TPN  For Date:\n', '   [**2113-2-6**]  (1600ml, 270drextrose/80protein/35fat)\n', '   Replete with fiber Full strength;\n', '   Starting rate: 10 ml/hr; Advance rate by 10 ml q6h Goal rate: 60 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   Flush w/ 30 ml water q8h\n', '   GI: Abdominal: Soft, Non-distended, Non-tender, Bowel sounds present,\n', '   PEG site clean and dry. Peg to gravity drainage\n', '   Assessment of Nutritional Status\n', '   49 year old male with Mitral valve endocarditis, preop stroke s/p MVR\n', '   and debridement of aortic valve [**1-27**], patient failed S & S evaluation,\n', '   TPN started over the weekend while awaiting PEG.    PEG placed\n', '   yesterday, plan to start tube feeds today, current tube feed order not\n', '   meeting patient\n', 's estimated need.  Noted patient with post op fluid\n', '   gain, recommend fluid restricted formula.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Consider ordering day 1 TPN tonight while slowly advancing\n', '   tube feed\n', '          Tube feeding: Isosource 1.5cal goal 45ml/hr ( 1620kcal/73g\n', '   protein)\n', '          Start tube feed at 15ml/hr and adv slowly as tol\n', '          Check chemistry 10 panel daily, replete prn\n', '          Continue BS management\n', '          [**Numeric Identifier 943**] if has question\n', '"\n', '40461,Nutrition,"Subjective\n', '   patient sleeping\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   74.9 kg ([**2113-2-3**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: D5 @10 ml/hr, KCl (40 mEq repletion), RISS, IV\n', '   abx, lansoprazole, famotidine, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   73\n', '   [**2113-2-4**] 12:00 PM\n', '   Glucose Finger Stick\n', '   135\n', '   [**2113-2-4**] 12:00 AM\n', '   BUN\n', '   25 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Creatinine\n', '   1.6 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Sodium\n', '   140 mEq/L\n', '   [**2113-2-4**] 03:42 AM\n', '   Potassium\n', '   3.5 mEq/L\n', '   [**2113-2-4**] 03:42 AM\n', '   Chloride\n', '   108 mEq/L\n', '   [**2113-2-4**] 03:42 AM\n', '   TCO2\n', '   22 mEq/L\n', '   [**2113-2-4**] 03:42 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.1 g/dL\n', '   [**2113-2-1**] 02:44 PM\n', '   Calcium non-ionized\n', '   7.3 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Phosphorus\n', '   3.1 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Ionized Calcium\n', '   1.08 mmol/L\n', '   [**2113-1-30**] 11:46 AM\n', '   Magnesium\n', '   2.0 mg/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   ALT\n', '   23 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Alkaline Phosphate\n', '   51 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   AST\n', '   24 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Amylase\n', '   40 IU/L\n', '   [**2113-2-3**] 05:24 AM\n', '   Total Bilirubin\n', '   0.3 mg/dL\n', '   [**2113-2-3**] 05:24 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   13.4 K/uL\n', '   [**2113-2-4**] 03:42 AM\n', '   Hgb\n', '   9.8 g/dL\n', '   [**2113-2-4**] 03:42 AM\n', '   Hematocrit\n', '   29.7 %\n', '   [**2113-2-4**] 03:42 AM\n', '   Current diet order / nutrition support: NPO\n', '   GI: soft, hypoactive bowel sounds\n', '   Assessment of Nutritional Status\n', '   Specifics: Patient s/p video swallow [**2-3**] which recommended patient be\n', '   NPO. Received consult for PPN recommendations. Per discussion with PA,\n', '   plan is for PEG placement on Monday and to supplement nutrition with\n', '   parenteral nutrition until PEG is able to be used. Patient with PICC,\n', '   Day 1 TPN ordered to start tonight. NGT was attempted earlier in week\n', '   and was unable to placed and team thinks patient would pull it out.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '   1.       Day 1 TPN tonight\n', '   2.       Pending glycemic control advance to goal TPN 1.6L (270 g\n', '   dextrose/80 g amino acids/35 g lipids)= 1588 kcals\n', '   3.       Check TG hold lipids if greater than 400\n', '   4.       Once PEG placed start with Isosource HN @ 15 ml/hr advance to\n', '   goal of 45 ml/hr = 1620 kcals/ 73 g protein\n', '   5.       Will follow page [**Numeric Identifier 1372**] with questions\n', '"\n', '40461,Nutrition,"Subjective\n', '   Patient asleep, [**Name8 (MD) 77**] RN, patient refused all po food or supplements.\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   70.5 kg ([**2113-1-19**] 08:00 AM)\n', '   up due to fluid\n', '   19.9\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   75.3 kg\n', '   119%\n', '   63 kg\n', '   100%\n', '   Diagnosis: MITRAL VALVE ENDOCARDITIS\n', '   PMHx: None - no medical care x 30 years\n', '   Food allergies and intolerances:  not available\n', '   Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine,\n', '   FoLIC Acid, Nicotine Patch, Heparin, Docusate Sodium , Nafcillin,\n', '   Potassium Chloride, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   117 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   BUN\n', '   25 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Creatinine\n', '   1.5 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Potassium\n', '   3.3 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Chloride\n', '   103 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   TCO2\n', '   22 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   PO2 (venous)\n', '   145 mm Hg\n', '   [**2113-1-15**] 04:51 PM\n', '   PCO2 (venous)\n', '   34 mm Hg\n', '   [**2113-1-15**] 04:51 PM\n', '   pH (venous)\n', '   7.45 units\n', '   [**2113-1-15**] 04:51 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-18**] 12:03 PM\n', '   CO2 (Calc) venous\n', '   24 mEq/L\n', '   [**2113-1-15**] 04:51 PM\n', '   Albumin\n', '   1.9 g/dL\n', '   [**2113-1-18**] 07:15 AM\n', '   Calcium non-ionized\n', '   7.1 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Phosphorus\n', '   4.8 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Magnesium\n', '   1.9 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   ALT\n', '   36 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Alkaline Phosphate\n', '   44 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   AST\n', '   54 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   WBC\n', '   13.0 K/uL\n', '   [**2113-1-20**] 02:36 AM\n', '   Hgb\n', '   11.8 g/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Hematocrit\n', '   35.2 %\n', '   [**2113-1-20**] 02:36 AM\n', '   Current diet order / nutrition support: Regular; Supplement: Ensure\n', '   Plus breakfast, lunch, dinner\n', '   GI: Abdominal: Soft, Non-tender, Bowel sounds present\n', '   Extremities: Right lower extremity edema: Absent, Left lower extremity\n', '   edema\n', '   Skin:  Warm, Rash: upper and lower ext, occ petechiae\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', 'Patient at risk due to:  Low po intake, current illness,  head CT showed multipl\n', 'e small non-hemorrhagic\n', '   infarcts suspicious for septic emboli,\n', '   Estimated Nutritional Needs\n', '   Calories: 1575-1764 (BEE x  or / 25-28 cal/kg)\n', '   Protein: 76-88 (1.2-1.4 g/kg)\n', '   Fluid: per team\n', '   Calculations based on: Admit weight\n', '   Estimation of previous intake: Inadequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   49 year old male found to have staphylococcus aureus bacterial\n', '   endocarditis with severe mitral regurgitation [**3-21**] mitral valve\n', '   vegetations and flail leaflet.  Patient transferred from [**Hospital **] [**Hospital1 5**] for CT surgery evaluation and further  management.\n', '   Patient s/p speech and swallow evaluation, okay to have regular diet,\n', '   yet patient refused to take pos. spoke to team this morning, team\n', '   considering NGT placement.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Po as tolerance\n', '          Tube feeding recommendations: Nutren Pulmonary goal 45ml/hr\n', '   (1620kcal/73.4g protein)\n', '          Monitor tube feed tolerance\n', '          Check chemistry 10 panel daily, replete as you are doing\n', '          Consider adding phos binder if serum phos remains elevated\n', '          Start regular insulin sliding scale if serum glucose greater\n', '   than 150 mg/dL\n', '          Other: [**Numeric Identifier 943**] if has question\n', '"\n', '40461,Nutrition,"Subjective\n', '   Patient asleep, [**Name8 (MD) 77**] RN, patient refused all po food or supplements.\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   70.5 kg ([**2113-1-19**] 08:00 AM)\n', '   up due to fluid\n', '   19.9\n', '   Ideal body weight\n', '   % Ideal body weight\n', '   Adjusted weight\n', '   Usual body weight\n', '   % Usual body weight\n', '   75.3 kg\n', '   119%\n', '   63 kg\n', '   100%\n', '   Diagnosis: MITRAL VALVE ENDOCARDITIS\n', '   PMHx: None - no medical care x 30 years\n', '   Food allergies and intolerances:  not available\n', '   Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine,\n', '   FoLIC Acid, Nicotine Patch, Heparin, Docusate Sodium , Nafcillin,\n', '   Potassium Chloride, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   117 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   BUN\n', '   25 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Creatinine\n', '   1.5 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Potassium\n', '   3.3 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Chloride\n', '   103 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   TCO2\n', '   22 mEq/L\n', '   [**2113-1-20**] 02:36 AM\n', '   PO2 (venous)\n', '   145 mm Hg\n', '   [**2113-1-15**] 04:51 PM\n', '   PCO2 (venous)\n', '   34 mm Hg\n', '   [**2113-1-15**] 04:51 PM\n', '   pH (venous)\n', '   7.45 units\n', '   [**2113-1-15**] 04:51 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-18**] 12:03 PM\n', '   CO2 (Calc) venous\n', '   24 mEq/L\n', '   [**2113-1-15**] 04:51 PM\n', '   Albumin\n', '   1.9 g/dL\n', '   [**2113-1-18**] 07:15 AM\n', '   Calcium non-ionized\n', '   7.1 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Phosphorus\n', '   4.8 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Magnesium\n', '   1.9 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   ALT\n', '   36 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Alkaline Phosphate\n', '   44 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   AST\n', '   54 IU/L\n', '   [**2113-1-20**] 02:36 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   WBC\n', '   13.0 K/uL\n', '   [**2113-1-20**] 02:36 AM\n', '   Hgb\n', '   11.8 g/dL\n', '   [**2113-1-20**] 02:36 AM\n', '   Hematocrit\n', '   35.2 %\n', '   [**2113-1-20**] 02:36 AM\n', '   Current diet order / nutrition support: Regular; Supplement: Ensure\n', '   Plus breakfast, lunch, dinner\n', '   GI: Abdominal: Soft, Non-tender, Bowel sounds present\n', '   Extremities: Right lower extremity edema: Absent, Left lower extremity\n', '   edema\n', '   Skin:  Warm, Rash: upper and lower ext, occ petechiae\n', '   Assessment of Nutritional Status\n', '   At risk for malnutrition\n', 'Patient at risk due to:  Low po intake, current illness,  head CT showed multipl\n', 'e small non-hemorrhagic\n', '   infarcts suspicious for septic emboli,\n', '   Estimated Nutritional Needs\n', '   Calories: 1575-1764 (BEE x  or / 25-28 cal/kg)\n', '   Protein: 76-88 (1.2-1.4 g/kg)\n', '   Fluid: per team\n', '   Calculations based on: Admit weight\n', '   Estimation of previous intake: Inadequate\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   49 year old male found to have staphylococcus aureus bacterial\n', '   endocarditis with severe mitral regurgitation [**3-21**] mitral valve\n', '   vegetations and flail leaflet.  Patient transferred from [**Hospital **] [**Hospital1 5**] for CT surgery evaluation and further  management.\n', '   Patient s/p speech and swallow evaluation, okay to have regular diet,\n', '   yet patient refused to take pos. spoke to team this morning, team\n', '   considering NGT placement.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Po as tolerance\n', '          Tube feeding recommendations: Nutren Pulmonary goal 45ml/hr\n', '   (1620kcal/73.4g protein)\n', '          Monitor tube feed tolerance\n', '          Check chemistry 10 panel daily, replete as you are doing\n', '          Consider adding phos binder if serum phos remains elevated\n', '          Start regular insulin sliding scale if serum glucose greater\n', '   than 150 mg/dL\n', '          Other: [**Numeric Identifier 943**] if has question\n', '   ------ Protected Section ------\n', '   Cardiology Teaching Physician Note\n', '   On this day I saw, examined and was physically present with the\n', '   resident / fellow for the key portions of the services provided. I\n', '   agree with the above note and plans.\n', '   I would add the following remarks:\n', '   Medical Decision Making\n', '   Patient slowly improving the am after aggressive diuresis and\n', '   initiation of Milrinone. He is less dyspneic and saturations are in the\n', '   95-96% range. Renal service feels ARF is multifactorial and sediment is\n', '   c/w ATM. Createnine is stable today at 1.5. He is speaking clearly but\n', '   somnolent and wife, [**Name (NI) 1880**], feels this is from not sleeping last night.\n', '   WBC down to 13K from 14K yesterday. ID recommends continuing Nafcillin\n', '   with bllod cultures with fever spikes. Source of fevers are unclear now\n', '   and we may need to image his abdomen as he complains of intermittent\n', '   abdominal pain. C-[**Doctor First Name 91**] continues to follow closely and would like to\n', '   delay surgery for as long as possible.\n', '   ------ Protected Section Addendum Entered By:[**Name (NI) **] [**Last Name (NamePattern1) **], MD\n', '   on:[**2113-1-20**] 05:48 PM ------\n', '"\n', '40461,Nutrition,"Subjective:  Did not speak with patient.\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   72 kg ([**2113-1-22**] 10:00 AM)\n', '   19.9\n', '   Pertinent medications: Milrinone, protonix, abx, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   98 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   BUN\n', '   27 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Creatinine\n', '   1.0 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Potassium\n', '   4.3 mEq/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Chloride\n', '   107 mEq/L\n', '   [**2113-1-22**] 05:17 AM\n', '   TCO2\n', '   19 mEq/L\n', '   [**2113-1-22**] 05:17 AM\n', '   PO2 (arterial)\n', '   61 mm Hg\n', '   [**2113-1-22**] 12:22 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   31 mm Hg\n', '   [**2113-1-22**] 12:22 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.37 units\n', '   [**2113-1-22**] 12:22 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-20**] 06:24 PM\n', '   CO2 (Calc) arterial\n', '   19 mEq/L\n', '   [**2113-1-22**] 12:22 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.1 g/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Calcium non-ionized\n', '   7.6 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Phosphorus\n', '   3.8 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Magnesium\n', '   2.0 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   ALT\n', '   27 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Alkaline Phosphate\n', '   50 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   AST\n', '   27 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Total Bilirubin\n', '   0.3 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   WBC\n', '   20.7 K/uL\n', '   [**2113-1-22**] 05:17 AM\n', '   Hgb\n', '   12.9 g/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Hematocrit\n', '   39.5 %\n', '   [**2113-1-22**] 05:17 AM\n', '   Current diet order / nutrition support: Diet: Regular/ heart healthy,\n', '   with ensure plus TID\n', '   GI: abd soft, bowel sounds present\n', '   Assessment of Nutritional Status\n', '   49 year old male found to have staphylococcus aureus bacterial\n', '   endocarditis with severe mitral regurgitation [**3-21**] mitral valve\n', '   vegetations and flail leaflet.  Patient transferred from [**Hospital **] to [**Hospital1 5**] for CT surgery evaluation and further  management.\n', '   Patient s/p speech and swallow evaluation, okay to have regular diet,\n', '   yet patient is only taking small amounts of po\n', 's due to mental status.\n', '    Team is planning to place an NGT for start of tube feeds.  Tube\n', '   feeding are recommendations below; these can be adjusted based on\n', '   amount of po\n', 's patient is taking.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          To meet 100% of estimated needs, recommend Nutren Pulmonary\n', '   @ 45mL/hr (1620kcals, 73g protein)\n', '          Will monitor po intake and mental status and adjust tube\n', '   feeds as needed.\n', '          Following g- #[**Numeric Identifier 1312**]\n', '"\n', '40461,Nutrition,"Subjective\n', '   intub\n', '   Objective\n', '   Pertinent medications: Multivitamins, FoLIC Acid , Pantoprazole,\n', '   Potassium Chloride, Norepinephrine drip, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   106 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   BUN\n', '   15 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Creatinine\n', '   1.1 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Sodium\n', '   140 mEq/L\n', '   [**2113-1-25**] 03:36 AM\n', '   Potassium\n', '   3.7 mEq/L\n', '   [**2113-1-25**] 03:36 AM\n', '   Chloride\n', '   108 mEq/L\n', '   [**2113-1-25**] 03:36 AM\n', '   TCO2\n', '   26 mEq/L\n', '   [**2113-1-25**] 03:36 AM\n', '   PO2 (arterial)\n', '   108 mm Hg\n', '   [**2113-1-25**] 03:53 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   53 mm Hg\n', '   [**2113-1-25**] 03:53 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.32 units\n', '   [**2113-1-25**] 03:53 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-25**] 02:26 PM\n', '   CO2 (Calc) arterial\n', '   29 mEq/L\n', '   [**2113-1-25**] 03:53 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.1 g/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Calcium non-ionized\n', '   7.4 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Phosphorus\n', '   3.5 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Magnesium\n', '   1.6 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   ALT\n', '   27 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Alkaline Phosphate\n', '   50 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   AST\n', '   27 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Amylase\n', '   25 IU/L\n', '   [**2113-1-22**] 05:17 AM\n', '   Total Bilirubin\n', '   0.3 mg/dL\n', '   [**2113-1-22**] 05:17 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   11.4 K/uL\n', '   [**2113-1-25**] 03:36 AM\n', '   Hgb\n', '   9.6 g/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   Hematocrit\n', '   30.3 %\n', '   [**2113-1-25**] 03:36 AM\n', '   Current diet order / nutrition support: Nutren Pulmonary Full strength;\n', '   Additives: Banana flakes, 3 packets per day\n', '   Starting rate: 10 ml/hr; Advance rate by 10 ml q4h Goal rate: 45 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   Flush w/ 100 ml water q8h ( not running since 8 am this morning)\n', '   NPO for Procedure Start: After 12:01AM Procedure: CSURG on date\n', '   [**2113-1-26**]\n', '   Do NOT resume diet after procedure.\n', '   GI: Abd: soft, ND, NT, NBS\n', '   Ext: 2+ pulses, 2+ edema in lower extremtiies R>L\n', '   Assessment of Nutritional Status\n', '    49 year old male found to have staphlyococcus aureus bacterial\n', '   endocarditis with severe mitral regurgitation [**3-21**] mitral valve\n', '   vegetations and flail leaflet, patient pending OR tomorrow for AVR and\n', '   MVR with debridement of the epidural abscess.  Patient received minimal\n', '   nutrition since admission (had <24hours tube feed from 12/7-8), at very\n', '   high risk for malnutrition, recommend closely monitor post cardiac\n', '   surgery, may need to restart tube feed as patient was refusing all po\n', '   food this admission.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Multivitamin / Mineral supplement: discontinue outside order\n', '   if tube feed restarts\n', '          Tube feeding recommendations: restart tube feed as ordered\n', '          Check chemistry 10 panel daily, replete as you are doing\n', '          Start regular insulin sliding scale if serum glucose greater\n', '   than 150 mg/dL\n', '          Other: [**Numeric Identifier 943**] if has question\n', '"\n', '40461,Nutrition,"Ht: 70\n', '   Wt: 57.8 kg\n', '   IBW: 75.3 kg/ 77%\n', '   BMI: 18.2\n', '   Pmh: Diabetes,Dyslipidemia,Hypertension, [**1-25**] multiple embolic events\n', '   worst is large left posterior cerebral artery infarct(neurologic\n', '   deficits including left sided facial droop, right sided neglect, right\n', '   sided hemiparesis, expressive aphasia),\n', '   MVR(29mm St. [**Male First Name (un) 1104**] Mechanical Valve) with Debridement of Aortic Valve.\n', '   Teeth extraction [**2113-1-23**].\n', '   Diet Order: regular\n', '    49 year old male was in rehab s/p M.  Patient admitted to outside\n', '   hospital CT showed depressed fx of right frontal sinus. Patient\n', '   transferred\n', '   Potential for nutrition risk. Patient being monitored. Current\n', '   intervention if any, listed below:\n', '   Comments:\n', '"\n', '40461,Nutrition,"Ht: 70\n', '   Wt: 57.8 kg\n', '   IBW: 75.3 kg/ 77%\n', '   BMI: 18.2\n', '   Pmh: Diabetes,Dyslipidemia,Hypertension, [**1-25**] multiple embolic events\n', '   worst is large left posterior cerebral artery infarct(neurologic\n', '   deficits including left sided facial droop, right sided neglect, right\n', '   sided hemiparesis, expressive aphasia),\n', '   MVR(29mm St. [**Male First Name (un) 1104**] Mechanical Valve) with Debridement of Aortic Valve.\n', '   Teeth extraction [**2113-1-23**].\n', '   Diet Order: regular\n', '   49 year old male  on coumadin for a prosthetic mitral valve after\n', '   having Staphylococcal endocarditis of MV and AV, c/b multiple embolic\n', '   strokes admitted from rehab s/p fall. Patient tolerating diet no nausea\n', '   or vomiting. Patient reports much better po intake since admit to\n', '   [**Hospital1 5**]. Patient unsure of wt loss PTA and unsure of usual body wt. Will\n', '   add supplements to increase caloric intake.\n', '   Recommendations:\n', '   1.       Encourage pos and supplements\n', '   2.       Will add ensure TID\n', '   3.       Will follow page [**Numeric Identifier 1372**] with questions\n', '"\n', '40461,Nutrition,"Subjective\n', '   oriented x 1\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   72 kg ([**2113-2-1**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: Ranitidine, ABX, Folic Acid, Thiamine,\n', '   Multi-vitamin, lasix, Colace (Held), KCl (20mEq repletion x3)\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   108 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Glucose Finger Stick\n', '   124\n', '   [**2113-2-1**] 12:00 AM\n', '   BUN\n', '   28 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Creatinine\n', '   2.0 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Sodium\n', '   139 mEq/L\n', '   [**2113-2-1**] 03:30 AM\n', '   Potassium\n', '   3.7 mEq/L\n', '   [**2113-2-1**] 03:30 AM\n', '   Chloride\n', '   105 mEq/L\n', '   [**2113-2-1**] 03:30 AM\n', '   TCO2\n', '   23 mEq/L\n', '   [**2113-2-1**] 03:30 AM\n', '   PO2 (arterial)\n', '   65 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   30 mm Hg\n', '   [**2113-1-31**] 04:47 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.46 units\n', '   [**2113-1-31**] 04:47 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.5 units\n', '   [**2113-2-1**] 07:16 AM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-31**] 04:47 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.2 g/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Calcium non-ionized\n', '   7.6 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Phosphorus\n', '   4.6 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Ionized Calcium\n', '   1.08 mmol/L\n', '   [**2113-1-30**] 11:46 AM\n', '   Magnesium\n', '   2.2 mg/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   ALT\n', '   20 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Alkaline Phosphate\n', '   57 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   AST\n', '   26 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Amylase\n', '   17 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   18.2 K/uL\n', '   [**2113-2-1**] 03:30 AM\n', '   Hgb\n', '   10.4 g/dL\n', '   [**2113-2-1**] 03:30 AM\n', '   Hematocrit\n', '   31.5 %\n', '   [**2113-2-1**] 03:30 AM\n', '   Current diet order / nutrition support: Diet: Ground solids, thin\n', '   liquids; Ensure Pudding and Carnation Instant Breakfast with meals;\n', '   calorie counts [**2-1**], [**2-2**], [**2-3**]\n', '   GI: soft, (+) bowel sounds; green liquid stool\n', '   Assessment of Nutritional Status\n', '   Estimation of current intake: Inadequate\n', '   Specifics:\n', '   Patient s/p MVR / AVR [**1-27**].  Extubated [**1-30**].  Seen by SLP [**1-31**] who\n', '   recommended above altered consistency diet with 1:1 supervision.  [**Name8 (MD) **]\n', '   RN, patient took Ensure pudding and some Carnation Instant Breakfast\n', '   shake this AM with a lot of encouragement.  Patient takes very small\n', '   bites and is a picky eater.  RN reports wife to bring in a list of\n', '   foods that patient likes.  Calorie counts starting today.  Concerned\n', '   with nutrition status given poor po\n', 's during admit (refusing po\n', 's at\n', '   times), only received tube feed briefly on/off and recent surgery.\n', '   Would strongly recommend supplemental tube feed to optimize nutrition\n', '   for post-op recovery.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Current diet / nutrition support is appropriate:\n', '   Encourage/assist with po\n', '   o         Encourage wife to bring in food preference list or food\n', '   o         Calorie counts\n', ' please record on kitchen receipt percent\n', '   eaten\n', '          Oral supplements: Continue as ordered\n', '          Multivitamin / Mineral supplement: continue current\n', '          Tube feeding recommendations:\n', '   o         Consider placing NGT and beginning tube feeds to supplement\n', '   poor po\n', '   o         Tube feed goal would be: Nutren Pulmonary @ 45ml/hr = 1620\n', '   calories and 73g protein\n', '          Check chemistry 10 panel daily\n', '   Will follow, page if questions *[**Numeric Identifier 606**]\n', '"\n', '40461,Nutrition,"Subjective\n', '   just extubated\n', '   Objective\n', '   Height\n', '   Admit weight\n', '   Daily weight\n', '   Weight change\n', '   BMI\n', '   178 cm\n', '   63 kg\n', '   76.2 kg ([**2113-1-30**] 04:00 AM)\n', '   19.9\n', '   Pertinent medications: Multivitamins, others noted\n', '   Labs:\n', '   Value\n', '   Date\n', '   Glucose\n', '   106 mg/dL\n', '   [**2113-1-30**] 07:59 AM\n', '   Glucose Finger Stick\n', '   93\n', '   [**2113-1-29**] 06:00 PM\n', '   BUN\n', '   20 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Creatinine\n', '   1.6 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Sodium\n', '   137 mEq/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Potassium\n', '   3.5 mEq/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Chloride\n', '   104 mEq/L\n', '   [**2113-1-30**] 03:25 AM\n', '   TCO2\n', '   22 mEq/L\n', '   [**2113-1-30**] 03:25 AM\n', '   PO2 (arterial)\n', '   85.[**Numeric Identifier 299**] mm Hg\n', '   [**2113-1-30**] 09:19 AM\n', '   PO2 (venous)\n', '   48 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   PCO2 (arterial)\n', '   33 mm Hg\n', '   [**2113-1-30**] 09:19 AM\n', '   PCO2 (venous)\n', '   33 mm Hg\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (arterial)\n', '   7.41 units\n', '   [**2113-1-30**] 09:19 AM\n', '   pH (venous)\n', '   7.43 units\n', '   [**2113-1-21**] 05:21 PM\n', '   pH (urine)\n', '   5.0 units\n', '   [**2113-1-25**] 02:26 PM\n', '   CO2 (Calc) arterial\n', '   22 mEq/L\n', '   [**2113-1-30**] 09:19 AM\n', '   CO2 (Calc) venous\n', '   23 mEq/L\n', '   [**2113-1-21**] 05:21 PM\n', '   Albumin\n', '   2.2 g/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Calcium non-ionized\n', '   8.4 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Phosphorus\n', '   5.2 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Ionized Calcium\n', '   1.09 mmol/L\n', '   [**2113-1-30**] 07:59 AM\n', '   Magnesium\n', '   2.1 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   ALT\n', '   20 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Alkaline Phosphate\n', '   57 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   AST\n', '   26 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Amylase\n', '   17 IU/L\n', '   [**2113-1-30**] 03:25 AM\n', '   Total Bilirubin\n', '   0.4 mg/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Triglyceride\n', '   120 mg/dL\n', '   [**2113-1-25**] 03:36 AM\n', '   WBC\n', '   11.5 K/uL\n', '   [**2113-1-30**] 03:25 AM\n', '   Hgb\n', '   10.3 g/dL\n', '   [**2113-1-30**] 03:25 AM\n', '   Hematocrit\n', '   30.1 %\n', '   [**2113-1-30**] 03:25 AM\n', '   Current diet order / nutrition support: Nutren Pulmonary Full strength;\n', '   Starting rate: 10 ml/hr; Advance rate by 10 ml q4h Goal rate: 50 ml/hr\n', '   Residual Check: q4h Hold feeding for residual >= : 200 ml\n', '   Flush w/ 30 ml water q4h ( not running)\n', '   GI: soft, flesiseal in place\n', '   SKIN: stage 2 wounds\n', '   Assessment of Nutritional Status\n', '   49 year old male admitted on [**1-15**] with endocarditis s/p MVR and aortic\n', '   valve debridement on [**1-27**], patient extubated this morning.  Patient\n', '   well known to me from CCU, patient with minimal nutrition since\n', '   hospital admission (previously refused po food and nutrition\n', '   supplements in the ccu, received 1 day of tube feed prior to OR.\n', '   Patient at very high risk for malnutrition, highly recommend replace\n', '   feeding tube, restart tube feed as temporary nutrition support for post\n', '   op recovery.\n', '   Medical Nutrition Therapy Plan - Recommend the Following\n', '          Adv diet if remains medically stable\n', '          Continue tube feed as supplemental nutrition support: goal\n', '   Nutren Pulmonary goal 45ml/hr to provide 1620kcal/73.4g protein\n', '           Phos binder if serum phos remains elevated\n', '          Check chemistry 10 panel daily, replete prn\n', '          BS management\n', '          Other: [**Numeric Identifier 943**]\n', '"\n']
2136
In [41]:
for i in range(len(notes)):
  print(notes[i])
  print("*************************************************************************************")
SUBJECT_ID,CATEGORY,TEXT

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17610,Nutrition,"Patient transferred to MICU for concern for aspiration.  Diet changed

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   to NPO; NGT in for medication.  Noted plan to transition to comfort

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   focused care.

*************************************************************************************
   Will sign off at this time.  Please consult if needed. Pager *[**Numeric Identifier 5307**]

*************************************************************************************
"

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40493,Nutrition,"Objective

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   Pertinent medications: RISS, SS lytes, thiamin, folate, lasix, bowel

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   regimen, MOM, reglan, others noted

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   Labs:

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   Value

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   Date

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   Glucose

*************************************************************************************
   93 mg/dL

*************************************************************************************
   [**2172-11-9**] 01:50 AM

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   Glucose Finger Stick

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   120

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   [**2172-11-9**] 08:57 AM

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   BUN

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   15 mg/dL

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   0.6 mg/dL

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   Sodium

*************************************************************************************
   137 mEq/L

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.9 mEq/L

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   Chloride

*************************************************************************************
   106 mEq/L

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   TCO2

*************************************************************************************
   24 mEq/L

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   66 mm Hg

*************************************************************************************
   [**2172-11-9**] 08:57 AM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   41 mm Hg

*************************************************************************************
   [**2172-11-9**] 08:57 AM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.42 units

*************************************************************************************
   [**2172-11-9**] 08:57 AM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.0 units

*************************************************************************************
   [**2172-11-1**] 06:06 PM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   28 mEq/L

*************************************************************************************
   [**2172-11-9**] 08:57 AM

*************************************************************************************
   Albumin

*************************************************************************************
   2.6 g/dL

*************************************************************************************
   [**2172-11-3**] 02:24 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   8.7 mg/dL

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   4.5 mg/dL

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.11 mmol/L

*************************************************************************************
   [**2172-11-5**] 01:34 PM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.2 mg/dL

*************************************************************************************
   [**2172-11-9**] 01:50 AM

*************************************************************************************
   Current diet order / nutrition support: Fibersource HN@60mL/hr (1728

*************************************************************************************
   kcals/73 gr aa) not infusing

*************************************************************************************
   GI: Abd soft/+bs

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   Specifics:

*************************************************************************************
   Pt extubated earlier today.  Pt was previously tolerating TF

*************************************************************************************
s @ goal,

*************************************************************************************
   meeting 100% estimated nutrition needs.  Anticipate diet advancement as

*************************************************************************************
   able.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
   Advance diet per team c/ swallow eval if pt shows s/s of aspiration and

*************************************************************************************
   advance diet per SLP- vs place NGT and resume TF's if unable to take

*************************************************************************************
   po

*************************************************************************************
   Will follow plan -please page c/ ?'s #[**Numeric Identifier 1684**]

*************************************************************************************
"

*************************************************************************************
40493,Nutrition,"Subjective

*************************************************************************************
   intubated

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   168 cm

*************************************************************************************
   65 kg

*************************************************************************************
   23.1

*************************************************************************************
   Ideal body weight

*************************************************************************************
   % Ideal body weight

*************************************************************************************
   Adjusted weight

*************************************************************************************
   Usual body weight

*************************************************************************************
   % Usual body weight

*************************************************************************************
   64.4 kg

*************************************************************************************
   101%

*************************************************************************************
   Diagnosis: S/P Fall

*************************************************************************************
   PMH : etoh, smoker, cirrhosis

*************************************************************************************
   Food allergies and intolerances:  NKFA

*************************************************************************************
   Pertinent medications: fentanyl, LR @ 10 ml/hr, lasix, versed, RISS, IV

*************************************************************************************
   abx, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   155 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   151

*************************************************************************************
   [**2172-11-2**] 08:00 AM

*************************************************************************************
   BUN

*************************************************************************************
   17 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Creatinine

*************************************************************************************
   0.8 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Sodium

*************************************************************************************
   146 mEq/L

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Potassium

*************************************************************************************
   3.6 mEq/L

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Chloride

*************************************************************************************
   111 mEq/L

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   TCO2

*************************************************************************************
   29 mEq/L

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   113 mm Hg

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   41 mm Hg

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.46 units

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.0 units

*************************************************************************************
   [**2172-11-1**] 06:06 PM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   30 mEq/L

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   Albumin

*************************************************************************************
   3.0 g/dL

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   8.1 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Phosphorus

*************************************************************************************
   2.5 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.16 mmol/L

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   1.7 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   ALT

*************************************************************************************
   14 IU/L

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   73 IU/L

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   AST

*************************************************************************************
   43 IU/L

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   3.4 mg/dL

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   WBC

*************************************************************************************
   23.2 K/uL

*************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************
   Hgb

*************************************************************************************
   9.1 g/dL

*************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   27.2 %

*************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************
   Current diet order / nutrition support: NPO replete with fiber @ 60

*************************************************************************************
   ml/hr

*************************************************************************************
   GI: OGT

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   At risk for malnutrition

*************************************************************************************
   Pt at risk due to: NPO / hypocaloric diet

*************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************
   Calories: 1625-[**2114**]  (25-30 cal/kg)

*************************************************************************************
   Protein: 78-91 (1.2-1.4 g/kg)

*************************************************************************************
   Fluid: per team

*************************************************************************************
   Estimation of previous intake: Likely Adequate

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics: 57 year old male transferred from OSH, intubated there. Pt

*************************************************************************************
   S/P fall  CT shows Stage IV splenic laceration. Tolerating TF with

*************************************************************************************
   minimal residuals [**Name8 (MD) **] RN. Current TF provides 1440 kcals/89 g Pro.

*************************************************************************************
   Recommend changing TF to better meet nutritional needs.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
   1.       Check chemistry 10 panel daily

*************************************************************************************
   2.       Change TF to goal of Fibersource HN @ 65ml/hr (1872 kcals/83 g

*************************************************************************************
   Pro)

*************************************************************************************
   3.       Pls page with questions [**Numeric Identifier 2584**]

*************************************************************************************
"

*************************************************************************************
40493,Nutrition,"Subjective

*************************************************************************************
   intubated

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   168 cm

*************************************************************************************
   65 kg

*************************************************************************************
   23.1

*************************************************************************************
   Ideal body weight

*************************************************************************************
   % Ideal body weight

*************************************************************************************
   Adjusted weight

*************************************************************************************
   Usual body weight

*************************************************************************************
   % Usual body weight

*************************************************************************************
   64.4 kg

*************************************************************************************
   101%

*************************************************************************************
   Diagnosis: S/P Fall

*************************************************************************************
   PMH : etoh, smoker, cirrhosis

*************************************************************************************
   Food allergies and intolerances:  NKFA

*************************************************************************************
   Pertinent medications: fentanyl, LR @ 10 ml/hr, lasix, versed, RISS, IV

*************************************************************************************
   abx, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   155 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   151

*************************************************************************************
   [**2172-11-2**] 08:00 AM

*************************************************************************************
   BUN

*************************************************************************************
   17 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Creatinine

*************************************************************************************
   0.8 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Sodium

*************************************************************************************
   146 mEq/L

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Potassium

*************************************************************************************
   3.6 mEq/L

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Chloride

*************************************************************************************
   111 mEq/L

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   TCO2

*************************************************************************************
   29 mEq/L

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   113 mm Hg

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   41 mm Hg

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.46 units

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.0 units

*************************************************************************************
   [**2172-11-1**] 06:06 PM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   30 mEq/L

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   Albumin

*************************************************************************************
   3.0 g/dL

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   8.1 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Phosphorus

*************************************************************************************
   2.5 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.16 mmol/L

*************************************************************************************
   [**2172-11-2**] 11:55 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   1.7 mg/dL

*************************************************************************************
   [**2172-11-2**] 12:18 PM

*************************************************************************************
   ALT

*************************************************************************************
   14 IU/L

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   73 IU/L

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   AST

*************************************************************************************
   43 IU/L

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   3.4 mg/dL

*************************************************************************************
   [**2172-10-31**] 02:55 AM

*************************************************************************************
   WBC

*************************************************************************************
   23.2 K/uL

*************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************
   Hgb

*************************************************************************************
   9.1 g/dL

*************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   27.2 %

*************************************************************************************
   [**2172-11-2**] 01:06 AM

*************************************************************************************
   Current diet order / nutrition support: NPO replete with fiber @ 60

*************************************************************************************
   ml/hr

*************************************************************************************
   GI: OGT

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   At risk for malnutrition

*************************************************************************************
   Pt at risk due to: NPO / hypocaloric diet

*************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************
   Calories: 1625-[**2114**]  (25-30 cal/kg)

*************************************************************************************
   Protein: 78-91 (1.2-1.4 g/kg)

*************************************************************************************
   Fluid: per team

*************************************************************************************
   Estimation of previous intake: Likely Adequate

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics: 57 year old male transferred from OSH, intubated there. Pt

*************************************************************************************
   S/P fall  CT shows Stage IV splenic laceration. Tolerating TF with

*************************************************************************************
   minimal residuals [**Name8 (MD) **] RN. Current TF provides 1440 kcals/89 g Pro.

*************************************************************************************
   Recommend changing TF to better meet nutritional needs.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
   1.       Check chemistry 10 panel daily

*************************************************************************************
   2.       Change TF to goal of Fibersource HN @ 65ml/hr (1872 kcals/83 g

*************************************************************************************
   Pro)

*************************************************************************************
   3.       Pls page with questions [**Numeric Identifier 2584**]

*************************************************************************************
"

*************************************************************************************
61565,Nutrition,"Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   88.2 kg

*************************************************************************************
   27.8

*************************************************************************************
   Ideal body weight

*************************************************************************************
   % Ideal body weight

*************************************************************************************
   Adjusted weight

*************************************************************************************
   Usual body weight

*************************************************************************************
   % Usual body weight

*************************************************************************************
   75.3 kg

*************************************************************************************
   117%

*************************************************************************************
   Diagnosis: Head Bleed

*************************************************************************************
   PMH : DM.

*************************************************************************************
   Food allergies and intolerances:

*************************************************************************************
   Pertinent medications: Esmolol, famotidine, colace, lytes ss, dilantin,

*************************************************************************************
   ssri, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   143 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   155

*************************************************************************************
   [**2100-11-1**] 02:00 AM

*************************************************************************************
   BUN

*************************************************************************************
   18 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   0.8 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Sodium

*************************************************************************************
   142 mEq/L

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Potassium

*************************************************************************************
   4.1 mEq/L

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Chloride

*************************************************************************************
   111 mEq/L

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   TCO2

*************************************************************************************
   26 mEq/L

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   109 mm Hg

*************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   38 mm Hg

*************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.48 units

*************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   29 mEq/L

*************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************
   Albumin

*************************************************************************************
   3.8 g/dL

*************************************************************************************
   [**2100-10-30**] 03:27 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   8.9 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   2.5 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.22 mmol/L

*************************************************************************************
   [**2100-10-31**] 02:41 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.3 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Phenytoin (Dilantin)

*************************************************************************************
   10.1 ug/mL

*************************************************************************************
   [**2100-10-31**] 02:34 AM

*************************************************************************************
   WBC

*************************************************************************************
   12.1 K/uL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Hgb

*************************************************************************************
   11.9 g/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   33.9 %

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Current diet order / nutrition support: Replete with fiber Full

*************************************************************************************
   strength; Goal rate: 65 ml/hr

*************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************
   GI:

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   At risk for malnutrition

*************************************************************************************
   Pt at risk due to: NPO / hypocaloric diet

*************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************
   Calories: [**2027**]-2200 (BEE x  or / 22-25 cal/kg)

*************************************************************************************
   Protein: 114 (1.3 g/kg)

*************************************************************************************
   Fluid:

*************************************************************************************
   Estimation of previous intake: Adequate

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics:

*************************************************************************************
   72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital

*************************************************************************************
   SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on

*************************************************************************************
   TF yesterday, currently tol goal TF without issue, per chart, pt with +

*************************************************************************************
   gag, will plan to extubate this am.  If unable to extubate, will need

*************************************************************************************
   to change TF to better meet pt's needs.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
   Tube feeding recommendations:

*************************************************************************************
   Check chemistry 10 panel daily and replete

*************************************************************************************
   Cont Bg management

*************************************************************************************
   Pplease page [**Numeric Identifier 1550**] if has ?

*************************************************************************************
"

*************************************************************************************
61565,Nutrition,"Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm est.

*************************************************************************************
   88.2 kg

*************************************************************************************
   27.8

*************************************************************************************
   Ideal body weight

*************************************************************************************
   % Ideal body weight

*************************************************************************************
   Adjusted weight

*************************************************************************************
   Usual body weight

*************************************************************************************
   % Usual body weight

*************************************************************************************
   75.3 kg

*************************************************************************************
   117%

*************************************************************************************
   Diagnosis: Head Bleed

*************************************************************************************
   PMH : DM, HTN

*************************************************************************************
   Food allergies and intolerances:

*************************************************************************************
   Pertinent medications: Esmolol, famotidine, colace, lytes ss, dilantin,

*************************************************************************************
   ssri, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   143 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   155

*************************************************************************************
   [**2100-11-1**] 02:00 AM

*************************************************************************************
   BUN

*************************************************************************************
   18 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   0.8 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Sodium

*************************************************************************************
   142 mEq/L

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Potassium

*************************************************************************************
   4.1 mEq/L

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Chloride

*************************************************************************************
   111 mEq/L

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   TCO2

*************************************************************************************
   26 mEq/L

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   109 mm Hg

*************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   38 mm Hg

*************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.48 units

*************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   29 mEq/L

*************************************************************************************
   [**2100-11-1**] 04:35 AM

*************************************************************************************
   Albumin

*************************************************************************************
   3.8 g/dL

*************************************************************************************
   [**2100-10-30**] 03:27 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   8.9 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   2.5 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.22 mmol/L

*************************************************************************************
   [**2100-10-31**] 02:41 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.3 mg/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Phenytoin (Dilantin)

*************************************************************************************
   10.1 ug/mL

*************************************************************************************
   [**2100-10-31**] 02:34 AM

*************************************************************************************
   WBC

*************************************************************************************
   12.1 K/uL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Hgb

*************************************************************************************
   11.9 g/dL

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   33.9 %

*************************************************************************************
   [**2100-11-1**] 02:37 AM

*************************************************************************************
   Current diet order / nutrition support: Replete with fiber Full

*************************************************************************************
   strength; Goal rate: 65 ml/hr (1560kcal/96.7g pro)

*************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************
   GI: Soft, Non-distended, Non-tender

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   At risk for malnutrition

*************************************************************************************
   Pt at risk due to: NPO

*************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************
   Calories: 1760-2200 (BEE x  or / 20-25 cal/kg)

*************************************************************************************
   Protein: 114 (1.3 g/kg)

*************************************************************************************
   Fluid:  per team

*************************************************************************************
   Estimation of previous intake: likely adequate

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics:

*************************************************************************************
   72 yo male s/p witnessed fall w/ head trauma, right parietal-occipital

*************************************************************************************
   SAH w/ left intraparenchymal bleed / contre-coup injury. Pt started on

*************************************************************************************
   TF yesterday, currently tol goal TF without issue, per chart, pt with +

*************************************************************************************
   gag, cough, [**Last Name (LF) 1080**], [**First Name3 (LF) **] plan to extubate this am.  If unable to

*************************************************************************************
   extubate, will need to change TF to better meet pt's needs.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
   Tube feeding recommendations:  increase TF to Replete with Fiber goal

*************************************************************************************
   75ml/hr (1800kcal/112g pro)

*************************************************************************************
   Check chemistry 10 panel daily and replete prn

*************************************************************************************
   Cont Bg management

*************************************************************************************
   Please page [**Numeric Identifier 1550**] if has ?

*************************************************************************************
"

*************************************************************************************
61565,Nutrition,"Objective

*************************************************************************************
   Pertinent medications: pepcid, Heparin, docusate, Abx, RISS, others

*************************************************************************************
   noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   128 mg/dL

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   140

*************************************************************************************
   [**2100-11-4**] 08:00 PM

*************************************************************************************
   BUN

*************************************************************************************
   18 mg/dL

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   0.7 mg/dL

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   Sodium

*************************************************************************************
   140 mEq/L

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.9 mEq/L

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   Chloride

*************************************************************************************
   103 mEq/L

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   TCO2

*************************************************************************************
   28 mEq/L

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   94.[**Numeric Identifier 126**] mm Hg

*************************************************************************************
   [**2100-11-5**] 07:26 AM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   37 mm Hg

*************************************************************************************
   [**2100-11-5**] 07:26 AM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.49 units

*************************************************************************************
   [**2100-11-5**] 07:26 AM

*************************************************************************************
   pH (urine)

*************************************************************************************
   7.0 units

*************************************************************************************
   [**2100-11-5**] 11:05 AM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   29 mEq/L

*************************************************************************************
   [**2100-11-5**] 07:26 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   8.7 mg/dL

*************************************************************************************
   [**2100-11-4**] 02:31 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   3.0 mg/dL

*************************************************************************************
   [**2100-11-4**] 02:31 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.3 mg/dL

*************************************************************************************
   [**2100-11-4**] 02:31 AM

*************************************************************************************
   WBC

*************************************************************************************
   12.2 K/uL

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   Hgb

*************************************************************************************
   12.0 g/dL

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   33.8 %

*************************************************************************************
   [**2100-11-5**] 03:32 AM

*************************************************************************************
   Current diet order / nutrition support: Replete c/ Fiber @65mL/hr (1560

*************************************************************************************
   kcals/97 gr aa)

*************************************************************************************
   GI: Abd: soft/+bs

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics:

*************************************************************************************
   Pt s/p trach/PEG/and IVC filter yesterday.  TF

*************************************************************************************
s currently infusing @

*************************************************************************************
   10mL/hr. Current goal Rx will meet 88% estimated kcal and 85% estimated

*************************************************************************************
   aa needs therefore, will need to increase goal rate of TF

*************************************************************************************
s to avoid

*************************************************************************************
   underfeeding.  .

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
   Multivitamin / Mineral supplement: vua TF

*************************************************************************************
   Tube feeding recommendations: Increase TF goal rate to 75 mL/hr (1800

*************************************************************************************
   kcals/112 gr aa)

*************************************************************************************
   BG management as you are

*************************************************************************************
   Please page c/?'s #[**Numeric Identifier 1684**]

*************************************************************************************
"

*************************************************************************************
98851,Nutrition,"Patient has been NPO and/or on unsupplemented clear liquid diet for 1

*************************************************************************************
   days. If patient's diet is not able to be advanced and tolerated,

*************************************************************************************
   [**Street Address(1) 1511**] for nutrition support

*************************************************************************************
   Potential for nutrition risk. Patient being monitored. Current

*************************************************************************************
   intervention if any, listed below:

*************************************************************************************
   Comments:

*************************************************************************************
   Pt s/p LRRT [**4-17**], c/b hypoxia and increased O2 requirements in PACU, on

*************************************************************************************
   clears, tolerating well. Clinically improving, possibly transfer to

*************************************************************************************
   floor soon.

*************************************************************************************
   If unable to advance diet further in 24-48hrs, patient may benefit from

*************************************************************************************
   nutrition support.

*************************************************************************************
   Will f/u with progress, po tolerance.

*************************************************************************************
   Please page w/ questions #[**Numeric Identifier 1687**]

*************************************************************************************
   12:11

*************************************************************************************
"

*************************************************************************************
58054,Nutrition,"Comments:

*************************************************************************************
   Screening per hospital nutrition protocol. Noted patient is comfort

*************************************************************************************
   measures only.  No nutrition support indicated at this time.  Will sign

*************************************************************************************
   off. Please consult if needed. #[**Numeric Identifier 2337**]

*************************************************************************************
"

*************************************************************************************
99573,Nutrition,"Subjective

*************************************************************************************
   patient confused, unable to answer questions per chart patient had

*************************************************************************************
   difficulty swallowing PTA d/t damaged salivary glands from XRT

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   168 cm

*************************************************************************************
   98.2 kg

*************************************************************************************
   34.9

*************************************************************************************
   Ideal body weight

*************************************************************************************
   % Ideal body weight

*************************************************************************************
   Adjusted weight

*************************************************************************************
   Usual body weight

*************************************************************************************
   % Usual body weight

*************************************************************************************
   59 kg

*************************************************************************************
   166%

*************************************************************************************
   68.8 kg

*************************************************************************************
   Diagnosis: facial fx

*************************************************************************************
   PMH : breast ca, tongue ca, ovarian ca, polymyalgia, NIDDM, vertigo, hx

*************************************************************************************
   of falls

*************************************************************************************
   Food allergies and intolerances:  none noted

*************************************************************************************
   Pertinent medications: RISS, IV abx, protonix, KCl (30 mEq), Dextrose

*************************************************************************************
   5% 1/2 normal saline with KCl, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   206

*************************************************************************************
   [**2181-6-5**] 08:00 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   222

*************************************************************************************
   [**2181-6-4**] 08:00 PM

*************************************************************************************
   BUN

*************************************************************************************
   11 mg/dL

*************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************
   Creatinine

*************************************************************************************
   0.5 mg/dL

*************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************
   Sodium

*************************************************************************************
   134 mEq/L

*************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************
   Potassium

*************************************************************************************
   4.1 mEq/L

*************************************************************************************
   [**2181-6-5**] 09:13 AM

*************************************************************************************
   Chloride

*************************************************************************************
   98 mEq/L

*************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************
   TCO2

*************************************************************************************
   26 mEq/L

*************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   6.5 units

*************************************************************************************
   [**2181-6-3**] 12:30 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   8.5 mg/dL

*************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************
   Phosphorus

*************************************************************************************
   2.3 mg/dL

*************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.0 mg/dL

*************************************************************************************
   [**2181-6-4**] 11:36 PM

*************************************************************************************
   WBC

*************************************************************************************
   9.2 K/uL

*************************************************************************************
   [**2181-6-5**] 12:03 AM

*************************************************************************************
   Hgb

*************************************************************************************
   10.9 g/dL

*************************************************************************************
   [**2181-6-5**] 12:03 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   32.7 %

*************************************************************************************
   [**2181-6-5**] 12:03 AM

*************************************************************************************
   Current diet order / nutrition support: NPO

*************************************************************************************
   GI: obese, + bowel sounds

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   Obese, At risk for malnutrition

*************************************************************************************
   Pt at risk due to: NPO / hypocaloric diet, trauma

*************************************************************************************
   Estimated Nutritional Needs based on adjusted body wt

*************************************************************************************
   Calories: 1513-1720 (22-25 cal/kg)

*************************************************************************************
   Protein: 83-103 (1.2-1.5 g/kg)

*************************************************************************************
   Fluid: per team

*************************************************************************************
   Estimation of previous intake: unknown

*************************************************************************************
   Estimation of current intake: Inadequate d/t NPO status

*************************************************************************************
   Specifics: 78 year old female admitted from outside hospital S/P fall

*************************************************************************************
   at home with multiple injuries including Le Forte fx, multiple sinus

*************************************************************************************
   fx, orbital fx, facial and tongue swelling. Patient seen by SLP on [**6-4**]

*************************************************************************************
   who recommended patient remain NPO. If patient

*************************************************************************************
s diet cannot be

*************************************************************************************
   advanced consider initiating tube feedings to prevent further

*************************************************************************************
   nutritional decline.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
   If diet cannot be advanced recommend starting tube feedings start with

*************************************************************************************
   Replete with Fiber @ 15 ml/hr advance to goal of 65 ml/hr =1560

*************************************************************************************
   kcals/97 g protein

*************************************************************************************
   Check residuals q 4-6 hours hold if greater than 150 cc

*************************************************************************************
   Monitor lytes and glucose with initiation of tube feeding

*************************************************************************************
   Change to non-dextrose IV fluids once tube feedings started

*************************************************************************************
   Implement any SLP recs

*************************************************************************************
   Will continue to follow page [**Numeric Identifier 1372**] with questions

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   oriented x1

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   63 kg

*************************************************************************************
   74.9 kg ([**2113-2-3**] 04:00 AM)

*************************************************************************************
   19.9

*************************************************************************************
   Pertinent medications: Ranitidine, Multi-vitamin, ABX, Folic Acid,

*************************************************************************************
   Thiamine, Coumadin, Lasix, Colace (held), KCl (20mEq repletion x2),

*************************************************************************************
   Magnesium sulfate (2g repletion), Heparin drip

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   105 mg/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   127

*************************************************************************************
   [**2113-2-3**] 12:00 PM

*************************************************************************************
   BUN

*************************************************************************************
   25 mg/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   1.8 mg/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Sodium

*************************************************************************************
   142 mEq/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.9 mEq/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Chloride

*************************************************************************************
   110 mEq/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   TCO2

*************************************************************************************
   25 mEq/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   65 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   48 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   30 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.46 units

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.43 units

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.5 units

*************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   Albumin

*************************************************************************************
   2.1 g/dL

*************************************************************************************
   [**2113-2-1**] 02:44 PM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.5 mg/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   3.0 mg/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.08 mmol/L

*************************************************************************************
   [**2113-1-30**] 11:46 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.3 mg/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   ALT

*************************************************************************************
   23 IU/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   51 IU/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   AST

*************************************************************************************
   24 IU/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Amylase

*************************************************************************************
   40 IU/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.3 mg/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Triglyceride

*************************************************************************************
   120 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   9.3 K/uL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Hgb

*************************************************************************************
   8.9 g/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   27.0 %

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Current diet order / nutrition support: Diet: NPO

*************************************************************************************
   Calorie counts: [**2-1**] - 17 - 18

*************************************************************************************
   GI: soft, (+) bowel sounds; 500ml stool today

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics:

*************************************************************************************
   49 year old male with mitral valve endocarditis, preop stroke s/p MVR

*************************************************************************************
   (29mm [**First Name8 (NamePattern2) **] [**First Name4 (NamePattern1) 1104**] [**Last Name (NamePattern1) 1105**]) debridement of aortic valve [**1-27**].  Patient with

*************************************************************************************
   prolonged poor po

*************************************************************************************
s during admit.  Was on ground solids + thin liquid

*************************************************************************************
   diet, refusing po

*************************************************************************************
s at times.  s/p calories counts

*************************************************************************************
 880 calories [**2-1**]

*************************************************************************************
   and 270 calories [**2-2**].  Seen for video swallow evaluation this AM

*************************************************************************************
   SLP recommend NPO.  Per discussion with PA

*************************************************************************************
 plan for PEG placement as

*************************************************************************************
   previously unable to place NGT and feel that patient will pull it out.

*************************************************************************************
   Agree with PEG for long term nutrition support to prevent further

*************************************************************************************
   nutritional decline and optimize nutrition for post-op healing.  Noted

*************************************************************************************
   multiple lyte repletions.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          Current diet / nutrition support is appropriate: continue

*************************************************************************************
   NPO per SLP recommendations

*************************************************************************************
   o         SLP follow up when appropriate

*************************************************************************************
          Tube feeding recommendations: Agree with PEG

*************************************************************************************
   o         Once feeding tube placed, recommend begin Isosource 1.5 @

*************************************************************************************
   20ml/hr, advance as tolerated to goal of 45ml/hr = 1620 calories and

*************************************************************************************
   73g protein

*************************************************************************************
          Check residuals, hold tube feed if greater than 200ml

*************************************************************************************
          Multivitamin / Mineral supplement: continue current

*************************************************************************************
          Check chemistry 10 panel daily

*************************************************************************************
   o         Replete lytes PRN

*************************************************************************************
   Will follow, page if questions *[**Numeric Identifier 606**]

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   Patient oob, tube feed running at 40 ml/hr.

*************************************************************************************
   Objective

*************************************************************************************
   Pertinent medications: noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   119

*************************************************************************************
   [**2113-2-8**] 08:00 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   150

*************************************************************************************
   [**2113-2-7**] 10:00 PM

*************************************************************************************
   BUN

*************************************************************************************
   31 mg/dL

*************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   2.0 mg/dL

*************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************
   Sodium

*************************************************************************************
   143 mEq/L

*************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.4 mEq/L

*************************************************************************************
   [**2113-2-8**] 07:52 AM

*************************************************************************************
   Chloride

*************************************************************************************
   109 mEq/L

*************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************
   TCO2

*************************************************************************************
   25 mEq/L

*************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   65 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   48 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   30 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.46 units

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.43 units

*************************************************************************************
   [**2113-2-7**] 05:19 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.5 units

*************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   Albumin

*************************************************************************************
   2.2 g/dL

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.8 mg/dL

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   4.0 mg/dL

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.07 mmol/L

*************************************************************************************
   [**2113-2-7**] 05:19 PM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.1 mg/dL

*************************************************************************************
   [**2113-2-8**] 07:52 AM

*************************************************************************************
   ALT

*************************************************************************************
   21 IU/L

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   50 IU/L

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   AST

*************************************************************************************
   23 IU/L

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Amylase

*************************************************************************************
   45 IU/L

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.4 mg/dL

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Triglyceride

*************************************************************************************
   120 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   10.1 K/uL

*************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************
   Hgb

*************************************************************************************
   8.3 g/dL

*************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   26.1 %

*************************************************************************************
   [**2113-2-8**] 02:50 AM

*************************************************************************************
   Current diet order / nutrition support: Replete with fiber Full

*************************************************************************************
   strength;

*************************************************************************************
   Starting rate: 40 ml/hr; Advance rate by 20 ml q6h Goal rate: 70 ml/hr

*************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************
   Flush w/ 30 ml water q8h

*************************************************************************************
   GI: Abdominal: Soft, Non-distended, Non-tender, Bowel sounds present,

*************************************************************************************
   PEG site clean and dry.

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   49 year old male s/p  PEG placement yesterday, tube feed started

*************************************************************************************
   yesterday, tolerated Isosource 1.5 well, tube feed ordered changed to

*************************************************************************************
   Replete with fiber this morning, spoke to team, does not want patient

*************************************************************************************
   on special tube feed, recommend change to Fibersource HN as current

*************************************************************************************
   formula provides excess amount of protein. Noted discharge planning in

*************************************************************************************
   progress.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          Tube feeding: Fibersource HN goal 60ml/hr ( 1728kcal/76g

*************************************************************************************
   protein)

*************************************************************************************
          Check chemistry 10 panel daily, replete prn

*************************************************************************************
          Continue BS management

*************************************************************************************
          [**Numeric Identifier 943**] if has question

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   Patient asleep.

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   63 kg

*************************************************************************************
   70.8 kg ([**2113-2-7**] 04:00 AM)

*************************************************************************************
   19.9

*************************************************************************************
   Pertinent medications: Multiple Vitamins, Furosemide, Docusate Sodium,

*************************************************************************************
   others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   157 mg/dL

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   158

*************************************************************************************
   [**2113-2-7**] 06:00 AM

*************************************************************************************
   BUN

*************************************************************************************
   33 mg/dL

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   1.9 mg/dL

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   Sodium

*************************************************************************************
   145 mEq/L

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.7 mEq/L

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   Chloride

*************************************************************************************
   111 mEq/L

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   TCO2

*************************************************************************************
   24 mEq/L

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   65 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   48 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   30 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.46 units

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.43 units

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.5 units

*************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   Albumin

*************************************************************************************
   2.2 g/dL

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.8 mg/dL

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   4.0 mg/dL

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.08 mmol/L

*************************************************************************************
   [**2113-1-30**] 11:46 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.0 mg/dL

*************************************************************************************
   [**2113-2-6**] 11:00 PM

*************************************************************************************
   ALT

*************************************************************************************
   21 IU/L

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   50 IU/L

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   AST

*************************************************************************************
   23 IU/L

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Amylase

*************************************************************************************
   45 IU/L

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.4 mg/dL

*************************************************************************************
   [**2113-2-6**] 04:05 AM

*************************************************************************************
   Triglyceride

*************************************************************************************
   120 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   12.3 K/uL

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   Hgb

*************************************************************************************
   8.8 g/dL

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   26.9 %

*************************************************************************************
   [**2113-2-7**] 04:00 AM

*************************************************************************************
   Current diet order / nutrition support: Non-Standard TPN  For Date:

*************************************************************************************
   [**2113-2-6**]  (1600ml, 270drextrose/80protein/35fat)

*************************************************************************************
   Replete with fiber Full strength;

*************************************************************************************
   Starting rate: 10 ml/hr; Advance rate by 10 ml q6h Goal rate: 60 ml/hr

*************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************
   Flush w/ 30 ml water q8h

*************************************************************************************
   GI: Abdominal: Soft, Non-distended, Non-tender, Bowel sounds present,

*************************************************************************************
   PEG site clean and dry. Peg to gravity drainage

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   49 year old male with Mitral valve endocarditis, preop stroke s/p MVR

*************************************************************************************
   and debridement of aortic valve [**1-27**], patient failed S & S evaluation,

*************************************************************************************
   TPN started over the weekend while awaiting PEG.    PEG placed

*************************************************************************************
   yesterday, plan to start tube feeds today, current tube feed order not

*************************************************************************************
   meeting patient

*************************************************************************************
s estimated need.  Noted patient with post op fluid

*************************************************************************************
   gain, recommend fluid restricted formula.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          Consider ordering day 1 TPN tonight while slowly advancing

*************************************************************************************
   tube feed

*************************************************************************************
          Tube feeding: Isosource 1.5cal goal 45ml/hr ( 1620kcal/73g

*************************************************************************************
   protein)

*************************************************************************************
          Start tube feed at 15ml/hr and adv slowly as tol

*************************************************************************************
          Check chemistry 10 panel daily, replete prn

*************************************************************************************
          Continue BS management

*************************************************************************************
          [**Numeric Identifier 943**] if has question

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   patient sleeping

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   63 kg

*************************************************************************************
   74.9 kg ([**2113-2-3**] 04:00 AM)

*************************************************************************************
   19.9

*************************************************************************************
   Pertinent medications: D5 @10 ml/hr, KCl (40 mEq repletion), RISS, IV

*************************************************************************************
   abx, lansoprazole, famotidine, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   73

*************************************************************************************
   [**2113-2-4**] 12:00 PM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   135

*************************************************************************************
   [**2113-2-4**] 12:00 AM

*************************************************************************************
   BUN

*************************************************************************************
   25 mg/dL

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   1.6 mg/dL

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Sodium

*************************************************************************************
   140 mEq/L

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.5 mEq/L

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Chloride

*************************************************************************************
   108 mEq/L

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   TCO2

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   65 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   48 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   30 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.46 units

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.43 units

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.5 units

*************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   Albumin

*************************************************************************************
   2.1 g/dL

*************************************************************************************
   [**2113-2-1**] 02:44 PM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.3 mg/dL

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   3.1 mg/dL

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.08 mmol/L

*************************************************************************************
   [**2113-1-30**] 11:46 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.0 mg/dL

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   ALT

*************************************************************************************
   23 IU/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   51 IU/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   AST

*************************************************************************************
   24 IU/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Amylase

*************************************************************************************
   40 IU/L

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.3 mg/dL

*************************************************************************************
   [**2113-2-3**] 05:24 AM

*************************************************************************************
   Triglyceride

*************************************************************************************
   120 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   13.4 K/uL

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Hgb

*************************************************************************************
   9.8 g/dL

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   29.7 %

*************************************************************************************
   [**2113-2-4**] 03:42 AM

*************************************************************************************
   Current diet order / nutrition support: NPO

*************************************************************************************
   GI: soft, hypoactive bowel sounds

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   Specifics: Patient s/p video swallow [**2-3**] which recommended patient be

*************************************************************************************
   NPO. Received consult for PPN recommendations. Per discussion with PA,

*************************************************************************************
   plan is for PEG placement on Monday and to supplement nutrition with

*************************************************************************************
   parenteral nutrition until PEG is able to be used. Patient with PICC,

*************************************************************************************
   Day 1 TPN ordered to start tonight. NGT was attempted earlier in week

*************************************************************************************
   and was unable to placed and team thinks patient would pull it out.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
   1.       Day 1 TPN tonight

*************************************************************************************
   2.       Pending glycemic control advance to goal TPN 1.6L (270 g

*************************************************************************************
   dextrose/80 g amino acids/35 g lipids)= 1588 kcals

*************************************************************************************
   3.       Check TG hold lipids if greater than 400

*************************************************************************************
   4.       Once PEG placed start with Isosource HN @ 15 ml/hr advance to

*************************************************************************************
   goal of 45 ml/hr = 1620 kcals/ 73 g protein

*************************************************************************************
   5.       Will follow page [**Numeric Identifier 1372**] with questions

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   Patient asleep, [**Name8 (MD) 77**] RN, patient refused all po food or supplements.

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   63 kg

*************************************************************************************
   70.5 kg ([**2113-1-19**] 08:00 AM)

*************************************************************************************
   up due to fluid

*************************************************************************************
   19.9

*************************************************************************************
   Ideal body weight

*************************************************************************************
   % Ideal body weight

*************************************************************************************
   Adjusted weight

*************************************************************************************
   Usual body weight

*************************************************************************************
   % Usual body weight

*************************************************************************************
   75.3 kg

*************************************************************************************
   119%

*************************************************************************************
   63 kg

*************************************************************************************
   100%

*************************************************************************************
   Diagnosis: MITRAL VALVE ENDOCARDITIS

*************************************************************************************
   PMHx: None - no medical care x 30 years

*************************************************************************************
   Food allergies and intolerances:  not available

*************************************************************************************
   Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine,

*************************************************************************************
   FoLIC Acid, Nicotine Patch, Heparin, Docusate Sodium , Nafcillin,

*************************************************************************************
   Potassium Chloride, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   117 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   BUN

*************************************************************************************
   25 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   1.5 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Sodium

*************************************************************************************
   137 mEq/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.3 mEq/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Chloride

*************************************************************************************
   103 mEq/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   TCO2

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   145 mm Hg

*************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   34 mm Hg

*************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.45 units

*************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.0 units

*************************************************************************************
   [**2113-1-18**] 12:03 PM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   24 mEq/L

*************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************
   Albumin

*************************************************************************************
   1.9 g/dL

*************************************************************************************
   [**2113-1-18**] 07:15 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.1 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   4.8 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   1.9 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   ALT

*************************************************************************************
   36 IU/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   44 IU/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   AST

*************************************************************************************
   54 IU/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.4 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   13.0 K/uL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Hgb

*************************************************************************************
   11.8 g/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   35.2 %

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Current diet order / nutrition support: Regular; Supplement: Ensure

*************************************************************************************
   Plus breakfast, lunch, dinner

*************************************************************************************
   GI: Abdominal: Soft, Non-tender, Bowel sounds present

*************************************************************************************
   Extremities: Right lower extremity edema: Absent, Left lower extremity

*************************************************************************************
   edema

*************************************************************************************
   Skin:  Warm, Rash: upper and lower ext, occ petechiae

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   At risk for malnutrition

*************************************************************************************
Patient at risk due to:  Low po intake, current illness,  head CT showed multipl

*************************************************************************************
e small non-hemorrhagic

*************************************************************************************
   infarcts suspicious for septic emboli,

*************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************
   Calories: 1575-1764 (BEE x  or / 25-28 cal/kg)

*************************************************************************************
   Protein: 76-88 (1.2-1.4 g/kg)

*************************************************************************************
   Fluid: per team

*************************************************************************************
   Calculations based on: Admit weight

*************************************************************************************
   Estimation of previous intake: Inadequate

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics:

*************************************************************************************
   49 year old male found to have staphylococcus aureus bacterial

*************************************************************************************
   endocarditis with severe mitral regurgitation [**3-21**] mitral valve

*************************************************************************************
   vegetations and flail leaflet.  Patient transferred from [**Hospital **] [**Hospital1 5**] for CT surgery evaluation and further  management.

*************************************************************************************
   Patient s/p speech and swallow evaluation, okay to have regular diet,

*************************************************************************************
   yet patient refused to take pos. spoke to team this morning, team

*************************************************************************************
   considering NGT placement.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          Po as tolerance

*************************************************************************************
          Tube feeding recommendations: Nutren Pulmonary goal 45ml/hr

*************************************************************************************
   (1620kcal/73.4g protein)

*************************************************************************************
          Monitor tube feed tolerance

*************************************************************************************
          Check chemistry 10 panel daily, replete as you are doing

*************************************************************************************
          Consider adding phos binder if serum phos remains elevated

*************************************************************************************
          Start regular insulin sliding scale if serum glucose greater

*************************************************************************************
   than 150 mg/dL

*************************************************************************************
          Other: [**Numeric Identifier 943**] if has question

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   Patient asleep, [**Name8 (MD) 77**] RN, patient refused all po food or supplements.

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   63 kg

*************************************************************************************
   70.5 kg ([**2113-1-19**] 08:00 AM)

*************************************************************************************
   up due to fluid

*************************************************************************************
   19.9

*************************************************************************************
   Ideal body weight

*************************************************************************************
   % Ideal body weight

*************************************************************************************
   Adjusted weight

*************************************************************************************
   Usual body weight

*************************************************************************************
   % Usual body weight

*************************************************************************************
   75.3 kg

*************************************************************************************
   119%

*************************************************************************************
   63 kg

*************************************************************************************
   100%

*************************************************************************************
   Diagnosis: MITRAL VALVE ENDOCARDITIS

*************************************************************************************
   PMHx: None - no medical care x 30 years

*************************************************************************************
   Food allergies and intolerances:  not available

*************************************************************************************
   Pertinent medications: Furosemide , Milrinone, Multivitamins, Thiamine,

*************************************************************************************
   FoLIC Acid, Nicotine Patch, Heparin, Docusate Sodium , Nafcillin,

*************************************************************************************
   Potassium Chloride, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   117 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   BUN

*************************************************************************************
   25 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   1.5 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Sodium

*************************************************************************************
   137 mEq/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.3 mEq/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Chloride

*************************************************************************************
   103 mEq/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   TCO2

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   145 mm Hg

*************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   34 mm Hg

*************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.45 units

*************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.0 units

*************************************************************************************
   [**2113-1-18**] 12:03 PM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   24 mEq/L

*************************************************************************************
   [**2113-1-15**] 04:51 PM

*************************************************************************************
   Albumin

*************************************************************************************
   1.9 g/dL

*************************************************************************************
   [**2113-1-18**] 07:15 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.1 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   4.8 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   1.9 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   ALT

*************************************************************************************
   36 IU/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   44 IU/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   AST

*************************************************************************************
   54 IU/L

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.4 mg/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   13.0 K/uL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Hgb

*************************************************************************************
   11.8 g/dL

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   35.2 %

*************************************************************************************
   [**2113-1-20**] 02:36 AM

*************************************************************************************
   Current diet order / nutrition support: Regular; Supplement: Ensure

*************************************************************************************
   Plus breakfast, lunch, dinner

*************************************************************************************
   GI: Abdominal: Soft, Non-tender, Bowel sounds present

*************************************************************************************
   Extremities: Right lower extremity edema: Absent, Left lower extremity

*************************************************************************************
   edema

*************************************************************************************
   Skin:  Warm, Rash: upper and lower ext, occ petechiae

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   At risk for malnutrition

*************************************************************************************
Patient at risk due to:  Low po intake, current illness,  head CT showed multipl

*************************************************************************************
e small non-hemorrhagic

*************************************************************************************
   infarcts suspicious for septic emboli,

*************************************************************************************
   Estimated Nutritional Needs

*************************************************************************************
   Calories: 1575-1764 (BEE x  or / 25-28 cal/kg)

*************************************************************************************
   Protein: 76-88 (1.2-1.4 g/kg)

*************************************************************************************
   Fluid: per team

*************************************************************************************
   Calculations based on: Admit weight

*************************************************************************************
   Estimation of previous intake: Inadequate

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics:

*************************************************************************************
   49 year old male found to have staphylococcus aureus bacterial

*************************************************************************************
   endocarditis with severe mitral regurgitation [**3-21**] mitral valve

*************************************************************************************
   vegetations and flail leaflet.  Patient transferred from [**Hospital **] [**Hospital1 5**] for CT surgery evaluation and further  management.

*************************************************************************************
   Patient s/p speech and swallow evaluation, okay to have regular diet,

*************************************************************************************
   yet patient refused to take pos. spoke to team this morning, team

*************************************************************************************
   considering NGT placement.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          Po as tolerance

*************************************************************************************
          Tube feeding recommendations: Nutren Pulmonary goal 45ml/hr

*************************************************************************************
   (1620kcal/73.4g protein)

*************************************************************************************
          Monitor tube feed tolerance

*************************************************************************************
          Check chemistry 10 panel daily, replete as you are doing

*************************************************************************************
          Consider adding phos binder if serum phos remains elevated

*************************************************************************************
          Start regular insulin sliding scale if serum glucose greater

*************************************************************************************
   than 150 mg/dL

*************************************************************************************
          Other: [**Numeric Identifier 943**] if has question

*************************************************************************************
   ------ Protected Section ------

*************************************************************************************
   Cardiology Teaching Physician Note

*************************************************************************************
   On this day I saw, examined and was physically present with the

*************************************************************************************
   resident / fellow for the key portions of the services provided. I

*************************************************************************************
   agree with the above note and plans.

*************************************************************************************
   I would add the following remarks:

*************************************************************************************
   Medical Decision Making

*************************************************************************************
   Patient slowly improving the am after aggressive diuresis and

*************************************************************************************
   initiation of Milrinone. He is less dyspneic and saturations are in the

*************************************************************************************
   95-96% range. Renal service feels ARF is multifactorial and sediment is

*************************************************************************************
   c/w ATM. Createnine is stable today at 1.5. He is speaking clearly but

*************************************************************************************
   somnolent and wife, [**Name (NI) 1880**], feels this is from not sleeping last night.

*************************************************************************************
   WBC down to 13K from 14K yesterday. ID recommends continuing Nafcillin

*************************************************************************************
   with bllod cultures with fever spikes. Source of fevers are unclear now

*************************************************************************************
   and we may need to image his abdomen as he complains of intermittent

*************************************************************************************
   abdominal pain. C-[**Doctor First Name 91**] continues to follow closely and would like to

*************************************************************************************
   delay surgery for as long as possible.

*************************************************************************************
   ------ Protected Section Addendum Entered By:[**Name (NI) **] [**Last Name (NamePattern1) **], MD

*************************************************************************************
   on:[**2113-1-20**] 05:48 PM ------

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective:  Did not speak with patient.

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   63 kg

*************************************************************************************
   72 kg ([**2113-1-22**] 10:00 AM)

*************************************************************************************
   19.9

*************************************************************************************
   Pertinent medications: Milrinone, protonix, abx, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   98 mg/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   BUN

*************************************************************************************
   27 mg/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   1.0 mg/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Sodium

*************************************************************************************
   137 mEq/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Potassium

*************************************************************************************
   4.3 mEq/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Chloride

*************************************************************************************
   107 mEq/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   TCO2

*************************************************************************************
   19 mEq/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   61 mm Hg

*************************************************************************************
   [**2113-1-22**] 12:22 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   48 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   31 mm Hg

*************************************************************************************
   [**2113-1-22**] 12:22 AM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.37 units

*************************************************************************************
   [**2113-1-22**] 12:22 AM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.43 units

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.0 units

*************************************************************************************
   [**2113-1-20**] 06:24 PM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   19 mEq/L

*************************************************************************************
   [**2113-1-22**] 12:22 AM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   Albumin

*************************************************************************************
   2.1 g/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.6 mg/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   3.8 mg/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.0 mg/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   ALT

*************************************************************************************
   27 IU/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   50 IU/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   AST

*************************************************************************************
   27 IU/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.3 mg/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   WBC

*************************************************************************************
   20.7 K/uL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Hgb

*************************************************************************************
   12.9 g/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   39.5 %

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Current diet order / nutrition support: Diet: Regular/ heart healthy,

*************************************************************************************
   with ensure plus TID

*************************************************************************************
   GI: abd soft, bowel sounds present

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   49 year old male found to have staphylococcus aureus bacterial

*************************************************************************************
   endocarditis with severe mitral regurgitation [**3-21**] mitral valve

*************************************************************************************
   vegetations and flail leaflet.  Patient transferred from [**Hospital **] to [**Hospital1 5**] for CT surgery evaluation and further  management.

*************************************************************************************
   Patient s/p speech and swallow evaluation, okay to have regular diet,

*************************************************************************************
   yet patient is only taking small amounts of po

*************************************************************************************
s due to mental status.

*************************************************************************************
    Team is planning to place an NGT for start of tube feeds.  Tube

*************************************************************************************
   feeding are recommendations below; these can be adjusted based on

*************************************************************************************
   amount of po

*************************************************************************************
s patient is taking.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          To meet 100% of estimated needs, recommend Nutren Pulmonary

*************************************************************************************
   @ 45mL/hr (1620kcals, 73g protein)

*************************************************************************************
          Will monitor po intake and mental status and adjust tube

*************************************************************************************
   feeds as needed.

*************************************************************************************
          Following g- #[**Numeric Identifier 1312**]

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   intub

*************************************************************************************
   Objective

*************************************************************************************
   Pertinent medications: Multivitamins, FoLIC Acid , Pantoprazole,

*************************************************************************************
   Potassium Chloride, Norepinephrine drip, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   106 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   BUN

*************************************************************************************
   15 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   1.1 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Sodium

*************************************************************************************
   140 mEq/L

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.7 mEq/L

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Chloride

*************************************************************************************
   108 mEq/L

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   TCO2

*************************************************************************************
   26 mEq/L

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   108 mm Hg

*************************************************************************************
   [**2113-1-25**] 03:53 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   48 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   53 mm Hg

*************************************************************************************
   [**2113-1-25**] 03:53 AM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.32 units

*************************************************************************************
   [**2113-1-25**] 03:53 AM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.43 units

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.0 units

*************************************************************************************
   [**2113-1-25**] 02:26 PM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   29 mEq/L

*************************************************************************************
   [**2113-1-25**] 03:53 AM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   Albumin

*************************************************************************************
   2.1 g/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.4 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   3.5 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   1.6 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   ALT

*************************************************************************************
   27 IU/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   50 IU/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   AST

*************************************************************************************
   27 IU/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Amylase

*************************************************************************************
   25 IU/L

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.3 mg/dL

*************************************************************************************
   [**2113-1-22**] 05:17 AM

*************************************************************************************
   Triglyceride

*************************************************************************************
   120 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   11.4 K/uL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Hgb

*************************************************************************************
   9.6 g/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   30.3 %

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   Current diet order / nutrition support: Nutren Pulmonary Full strength;

*************************************************************************************
   Additives: Banana flakes, 3 packets per day

*************************************************************************************
   Starting rate: 10 ml/hr; Advance rate by 10 ml q4h Goal rate: 45 ml/hr

*************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************
   Flush w/ 100 ml water q8h ( not running since 8 am this morning)

*************************************************************************************
   NPO for Procedure Start: After 12:01AM Procedure: CSURG on date

*************************************************************************************
   [**2113-1-26**]

*************************************************************************************
   Do NOT resume diet after procedure.

*************************************************************************************
   GI: Abd: soft, ND, NT, NBS

*************************************************************************************
   Ext: 2+ pulses, 2+ edema in lower extremtiies R>L

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
    49 year old male found to have staphlyococcus aureus bacterial

*************************************************************************************
   endocarditis with severe mitral regurgitation [**3-21**] mitral valve

*************************************************************************************
   vegetations and flail leaflet, patient pending OR tomorrow for AVR and

*************************************************************************************
   MVR with debridement of the epidural abscess.  Patient received minimal

*************************************************************************************
   nutrition since admission (had <24hours tube feed from 12/7-8), at very

*************************************************************************************
   high risk for malnutrition, recommend closely monitor post cardiac

*************************************************************************************
   surgery, may need to restart tube feed as patient was refusing all po

*************************************************************************************
   food this admission.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          Multivitamin / Mineral supplement: discontinue outside order

*************************************************************************************
   if tube feed restarts

*************************************************************************************
          Tube feeding recommendations: restart tube feed as ordered

*************************************************************************************
          Check chemistry 10 panel daily, replete as you are doing

*************************************************************************************
          Start regular insulin sliding scale if serum glucose greater

*************************************************************************************
   than 150 mg/dL

*************************************************************************************
          Other: [**Numeric Identifier 943**] if has question

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Ht: 70

*************************************************************************************
   Wt: 57.8 kg

*************************************************************************************
   IBW: 75.3 kg/ 77%

*************************************************************************************
   BMI: 18.2

*************************************************************************************
   Pmh: Diabetes,Dyslipidemia,Hypertension, [**1-25**] multiple embolic events

*************************************************************************************
   worst is large left posterior cerebral artery infarct(neurologic

*************************************************************************************
   deficits including left sided facial droop, right sided neglect, right

*************************************************************************************
   sided hemiparesis, expressive aphasia),

*************************************************************************************
   MVR(29mm St. [**Male First Name (un) 1104**] Mechanical Valve) with Debridement of Aortic Valve.

*************************************************************************************
   Teeth extraction [**2113-1-23**].

*************************************************************************************
   Diet Order: regular

*************************************************************************************
    49 year old male was in rehab s/p M.  Patient admitted to outside

*************************************************************************************
   hospital CT showed depressed fx of right frontal sinus. Patient

*************************************************************************************
   transferred

*************************************************************************************
   Potential for nutrition risk. Patient being monitored. Current

*************************************************************************************
   intervention if any, listed below:

*************************************************************************************
   Comments:

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Ht: 70

*************************************************************************************
   Wt: 57.8 kg

*************************************************************************************
   IBW: 75.3 kg/ 77%

*************************************************************************************
   BMI: 18.2

*************************************************************************************
   Pmh: Diabetes,Dyslipidemia,Hypertension, [**1-25**] multiple embolic events

*************************************************************************************
   worst is large left posterior cerebral artery infarct(neurologic

*************************************************************************************
   deficits including left sided facial droop, right sided neglect, right

*************************************************************************************
   sided hemiparesis, expressive aphasia),

*************************************************************************************
   MVR(29mm St. [**Male First Name (un) 1104**] Mechanical Valve) with Debridement of Aortic Valve.

*************************************************************************************
   Teeth extraction [**2113-1-23**].

*************************************************************************************
   Diet Order: regular

*************************************************************************************
   49 year old male  on coumadin for a prosthetic mitral valve after

*************************************************************************************
   having Staphylococcal endocarditis of MV and AV, c/b multiple embolic

*************************************************************************************
   strokes admitted from rehab s/p fall. Patient tolerating diet no nausea

*************************************************************************************
   or vomiting. Patient reports much better po intake since admit to

*************************************************************************************
   [**Hospital1 5**]. Patient unsure of wt loss PTA and unsure of usual body wt. Will

*************************************************************************************
   add supplements to increase caloric intake.

*************************************************************************************
   Recommendations:

*************************************************************************************
   1.       Encourage pos and supplements

*************************************************************************************
   2.       Will add ensure TID

*************************************************************************************
   3.       Will follow page [**Numeric Identifier 1372**] with questions

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   oriented x 1

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   63 kg

*************************************************************************************
   72 kg ([**2113-2-1**] 04:00 AM)

*************************************************************************************
   19.9

*************************************************************************************
   Pertinent medications: Ranitidine, ABX, Folic Acid, Thiamine,

*************************************************************************************
   Multi-vitamin, lasix, Colace (Held), KCl (20mEq repletion x3)

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   108 mg/dL

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   124

*************************************************************************************
   [**2113-2-1**] 12:00 AM

*************************************************************************************
   BUN

*************************************************************************************
   28 mg/dL

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   2.0 mg/dL

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Sodium

*************************************************************************************
   139 mEq/L

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.7 mEq/L

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Chloride

*************************************************************************************
   105 mEq/L

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   TCO2

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   65 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   48 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   30 mm Hg

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.46 units

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.43 units

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.5 units

*************************************************************************************
   [**2113-2-1**] 07:16 AM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-31**] 04:47 AM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   Albumin

*************************************************************************************
   2.2 g/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   7.6 mg/dL

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   4.6 mg/dL

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.08 mmol/L

*************************************************************************************
   [**2113-1-30**] 11:46 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.2 mg/dL

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   ALT

*************************************************************************************
   20 IU/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   57 IU/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   AST

*************************************************************************************
   26 IU/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Amylase

*************************************************************************************
   17 IU/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.4 mg/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Triglyceride

*************************************************************************************
   120 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   18.2 K/uL

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Hgb

*************************************************************************************
   10.4 g/dL

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   31.5 %

*************************************************************************************
   [**2113-2-1**] 03:30 AM

*************************************************************************************
   Current diet order / nutrition support: Diet: Ground solids, thin

*************************************************************************************
   liquids; Ensure Pudding and Carnation Instant Breakfast with meals;

*************************************************************************************
   calorie counts [**2-1**], [**2-2**], [**2-3**]

*************************************************************************************
   GI: soft, (+) bowel sounds; green liquid stool

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   Estimation of current intake: Inadequate

*************************************************************************************
   Specifics:

*************************************************************************************
   Patient s/p MVR / AVR [**1-27**].  Extubated [**1-30**].  Seen by SLP [**1-31**] who

*************************************************************************************
   recommended above altered consistency diet with 1:1 supervision.  [**Name8 (MD) **]

*************************************************************************************
   RN, patient took Ensure pudding and some Carnation Instant Breakfast

*************************************************************************************
   shake this AM with a lot of encouragement.  Patient takes very small

*************************************************************************************
   bites and is a picky eater.  RN reports wife to bring in a list of

*************************************************************************************
   foods that patient likes.  Calorie counts starting today.  Concerned

*************************************************************************************
   with nutrition status given poor po

*************************************************************************************
s during admit (refusing po

*************************************************************************************
s at

*************************************************************************************
   times), only received tube feed briefly on/off and recent surgery.

*************************************************************************************
   Would strongly recommend supplemental tube feed to optimize nutrition

*************************************************************************************
   for post-op recovery.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          Current diet / nutrition support is appropriate:

*************************************************************************************
   Encourage/assist with po

*************************************************************************************
   o         Encourage wife to bring in food preference list or food

*************************************************************************************
   o         Calorie counts

*************************************************************************************
 please record on kitchen receipt percent

*************************************************************************************
   eaten

*************************************************************************************
          Oral supplements: Continue as ordered

*************************************************************************************
          Multivitamin / Mineral supplement: continue current

*************************************************************************************
          Tube feeding recommendations:

*************************************************************************************
   o         Consider placing NGT and beginning tube feeds to supplement

*************************************************************************************
   poor po

*************************************************************************************
   o         Tube feed goal would be: Nutren Pulmonary @ 45ml/hr = 1620

*************************************************************************************
   calories and 73g protein

*************************************************************************************
          Check chemistry 10 panel daily

*************************************************************************************
   Will follow, page if questions *[**Numeric Identifier 606**]

*************************************************************************************
"

*************************************************************************************
40461,Nutrition,"Subjective

*************************************************************************************
   just extubated

*************************************************************************************
   Objective

*************************************************************************************
   Height

*************************************************************************************
   Admit weight

*************************************************************************************
   Daily weight

*************************************************************************************
   Weight change

*************************************************************************************
   BMI

*************************************************************************************
   178 cm

*************************************************************************************
   63 kg

*************************************************************************************
   76.2 kg ([**2113-1-30**] 04:00 AM)

*************************************************************************************
   19.9

*************************************************************************************
   Pertinent medications: Multivitamins, others noted

*************************************************************************************
   Labs:

*************************************************************************************
   Value

*************************************************************************************
   Date

*************************************************************************************
   Glucose

*************************************************************************************
   106 mg/dL

*************************************************************************************
   [**2113-1-30**] 07:59 AM

*************************************************************************************
   Glucose Finger Stick

*************************************************************************************
   93

*************************************************************************************
   [**2113-1-29**] 06:00 PM

*************************************************************************************
   BUN

*************************************************************************************
   20 mg/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Creatinine

*************************************************************************************
   1.6 mg/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Sodium

*************************************************************************************
   137 mEq/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Potassium

*************************************************************************************
   3.5 mEq/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Chloride

*************************************************************************************
   104 mEq/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   TCO2

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   PO2 (arterial)

*************************************************************************************
   85.[**Numeric Identifier 299**] mm Hg

*************************************************************************************
   [**2113-1-30**] 09:19 AM

*************************************************************************************
   PO2 (venous)

*************************************************************************************
   48 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   PCO2 (arterial)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-30**] 09:19 AM

*************************************************************************************
   PCO2 (venous)

*************************************************************************************
   33 mm Hg

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (arterial)

*************************************************************************************
   7.41 units

*************************************************************************************
   [**2113-1-30**] 09:19 AM

*************************************************************************************
   pH (venous)

*************************************************************************************
   7.43 units

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   pH (urine)

*************************************************************************************
   5.0 units

*************************************************************************************
   [**2113-1-25**] 02:26 PM

*************************************************************************************
   CO2 (Calc) arterial

*************************************************************************************
   22 mEq/L

*************************************************************************************
   [**2113-1-30**] 09:19 AM

*************************************************************************************
   CO2 (Calc) venous

*************************************************************************************
   23 mEq/L

*************************************************************************************
   [**2113-1-21**] 05:21 PM

*************************************************************************************
   Albumin

*************************************************************************************
   2.2 g/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Calcium non-ionized

*************************************************************************************
   8.4 mg/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Phosphorus

*************************************************************************************
   5.2 mg/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Ionized Calcium

*************************************************************************************
   1.09 mmol/L

*************************************************************************************
   [**2113-1-30**] 07:59 AM

*************************************************************************************
   Magnesium

*************************************************************************************
   2.1 mg/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   ALT

*************************************************************************************
   20 IU/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Alkaline Phosphate

*************************************************************************************
   57 IU/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   AST

*************************************************************************************
   26 IU/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Amylase

*************************************************************************************
   17 IU/L

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Total Bilirubin

*************************************************************************************
   0.4 mg/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Triglyceride

*************************************************************************************
   120 mg/dL

*************************************************************************************
   [**2113-1-25**] 03:36 AM

*************************************************************************************
   WBC

*************************************************************************************
   11.5 K/uL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Hgb

*************************************************************************************
   10.3 g/dL

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Hematocrit

*************************************************************************************
   30.1 %

*************************************************************************************
   [**2113-1-30**] 03:25 AM

*************************************************************************************
   Current diet order / nutrition support: Nutren Pulmonary Full strength;

*************************************************************************************
   Starting rate: 10 ml/hr; Advance rate by 10 ml q4h Goal rate: 50 ml/hr

*************************************************************************************
   Residual Check: q4h Hold feeding for residual >= : 200 ml

*************************************************************************************
   Flush w/ 30 ml water q4h ( not running)

*************************************************************************************
   GI: soft, flesiseal in place

*************************************************************************************
   SKIN: stage 2 wounds

*************************************************************************************
   Assessment of Nutritional Status

*************************************************************************************
   49 year old male admitted on [**1-15**] with endocarditis s/p MVR and aortic

*************************************************************************************
   valve debridement on [**1-27**], patient extubated this morning.  Patient

*************************************************************************************
   well known to me from CCU, patient with minimal nutrition since

*************************************************************************************
   hospital admission (previously refused po food and nutrition

*************************************************************************************
   supplements in the ccu, received 1 day of tube feed prior to OR.

*************************************************************************************
   Patient at very high risk for malnutrition, highly recommend replace

*************************************************************************************
   feeding tube, restart tube feed as temporary nutrition support for post

*************************************************************************************
   op recovery.

*************************************************************************************
   Medical Nutrition Therapy Plan - Recommend the Following

*************************************************************************************
          Adv diet if remains medically stable

*************************************************************************************
          Continue tube feed as supplemental nutrition support: goal

*************************************************************************************
   Nutren Pulmonary goal 45ml/hr to provide 1620kcal/73.4g protein

*************************************************************************************
           Phos binder if serum phos remains elevated

*************************************************************************************
          Check chemistry 10 panel daily, replete prn

*************************************************************************************
          BS management

*************************************************************************************
          Other: [**Numeric Identifier 943**]

*************************************************************************************
"

*************************************************************************************
In [42]:
import en_core_sci_md
nlp = en_core_sci_md.load()
In [43]:
doc = []
for i in range(len(notes)):
  doc.append(nlp(notes[i]))
  for ent in doc[-1].ents:
    print(ent.text, ent.start_char, ent.end_char, ent.label_)
  print("****************************************************************************************************")
SUBJECT_ID 0 10 ENTITY
CATEGORY 11 19 ENTITY
****************************************************************************************************
MICU 40 44 ENTITY
aspiration 61 71 ENTITY
Diet 74 78 ENTITY
****************************************************************************************************
NPO 6 9 ENTITY
NGT 11 14 ENTITY
medication 22 32 ENTITY
Noted 35 40 ENTITY
transition 49 59 ENTITY
comfort 63 70 ENTITY
****************************************************************************************************
focused care 3 15 ENTITY
****************************************************************************************************
Will sign 3 12 ENTITY
time 25 29 ENTITY
consult 39 46 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
medications 13 24 ENTITY
RISS 26 30 ENTITY
SS 32 34 ENTITY
lytes 35 40 ENTITY
thiamin 42 49 ENTITY
folate 51 57 ENTITY
lasix 59 64 ENTITY
bowel 66 71 ENTITY
****************************************************************************************************
regimen 3 10 ENTITY
MOM 12 15 ENTITY
reglan 17 23 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Fibersource 43 54 ENTITY
HN@60mL/hr 55 65 ENTITY
****************************************************************************************************
infusing 23 31 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
soft/+bs 11 19 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
****************************************************************************************************
Pt 3 5 ENTITY
extubated 6 15 ENTITY
Pt 32 34 ENTITY
TF 61 63 ENTITY
****************************************************************************************************
goal 4 8 ENTITY
****************************************************************************************************
nutrition 26 35 ENTITY
Anticipate diet advancement 44 71 ENTITY
****************************************************************************************************
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Advance diet 3 15 ENTITY
team 20 24 ENTITY
swallow 28 35 ENTITY
eval 36 40 ENTITY
s/s 53 56 ENTITY
aspiration 60 70 ENTITY
****************************************************************************************************
advance diet 3 15 ENTITY
SLP- 20 24 ENTITY
NGT 34 37 ENTITY
resume TF's 42 53 ENTITY
****************************************************************************************************
****************************************************************************************************
plan 15 19 ENTITY
page 28 32 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
intubated 3 12 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Ideal body weight 3 20 ENTITY
****************************************************************************************************
Ideal body weight 5 22 ENTITY
****************************************************************************************************
Adjusted 3 11 ENTITY
****************************************************************************************************
Usual body weight 3 20 ENTITY
****************************************************************************************************
Usual body weight 5 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Diagnosis 3 12 ENTITY
S/P Fall 14 22 ENTITY
****************************************************************************************************
PMH 3 6 ENTITY
etoh 9 13 ENTITY
smoker 15 21 ENTITY
cirrhosis 23 32 ENTITY
****************************************************************************************************
Food allergies 3 17 ENTITY
intolerances 22 34 ENTITY
NKFA 37 41 ENTITY
****************************************************************************************************
medications 13 24 ENTITY
fentanyl 26 34 ENTITY
LR 36 38 ENTITY
lasix 51 56 ENTITY
RISS 66 70 ENTITY
IV 72 74 ENTITY
****************************************************************************************************
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
NPO 43 46 ENTITY
replete 47 54 ENTITY
fiber 60 65 ENTITY
****************************************************************************************************
****************************************************************************************************
GI 3 5 ENTITY
OGT 7 10 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
risk 6 10 ENTITY
malnutrition 15 27 ENTITY
****************************************************************************************************
Pt 3 5 ENTITY
risk 9 13 ENTITY
NPO 22 25 ENTITY
hypocaloric diet 28 44 ENTITY
****************************************************************************************************
Estimated Nutritional Needs 3 30 ENTITY
****************************************************************************************************
Calories 3 11 ENTITY
****************************************************************************************************
Protein 3 10 ENTITY
****************************************************************************************************
Fluid 3 8 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
intake 26 32 ENTITY
Adequate 41 49 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
year 17 21 ENTITY
male 26 30 ENTITY
OSH 48 51 ENTITY
intubated 53 62 ENTITY
Pt 70 72 ENTITY
****************************************************************************************************
S/P 3 6 ENTITY
CT 13 15 ENTITY
Stage IV splenic laceration 22 49 ENTITY
TF 62 64 ENTITY
****************************************************************************************************
minimal residuals 3 20 ENTITY
Name8 24 29 ENTITY
RN 39 41 ENTITY
TF 51 53 ENTITY
kcals/89 g Pro 68 82 ENTITY
****************************************************************************************************
Recommend 3 12 ENTITY
changing TF 13 24 ENTITY
nutritional 40 51 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Check chemistry 12 27 ENTITY
daily 37 42 ENTITY
****************************************************************************************************
Change 12 18 ENTITY
TF 19 21 ENTITY
goal 25 29 ENTITY
Fibersource 33 44 ENTITY
HN 45 47 ENTITY
****************************************************************************************************
Pro 3 6 ENTITY
****************************************************************************************************
Pls page 12 20 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
intubated 3 12 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Ideal body weight 3 20 ENTITY
****************************************************************************************************
Ideal body weight 5 22 ENTITY
****************************************************************************************************
Adjusted 3 11 ENTITY
****************************************************************************************************
Usual body weight 3 20 ENTITY
****************************************************************************************************
Usual body weight 5 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Diagnosis 3 12 ENTITY
S/P Fall 14 22 ENTITY
****************************************************************************************************
PMH 3 6 ENTITY
etoh 9 13 ENTITY
smoker 15 21 ENTITY
cirrhosis 23 32 ENTITY
****************************************************************************************************
Food allergies 3 17 ENTITY
intolerances 22 34 ENTITY
NKFA 37 41 ENTITY
****************************************************************************************************
medications 13 24 ENTITY
fentanyl 26 34 ENTITY
LR 36 38 ENTITY
lasix 51 56 ENTITY
RISS 66 70 ENTITY
IV 72 74 ENTITY
****************************************************************************************************
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
NPO 43 46 ENTITY
replete 47 54 ENTITY
fiber 60 65 ENTITY
****************************************************************************************************
****************************************************************************************************
GI 3 5 ENTITY
OGT 7 10 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
risk 6 10 ENTITY
malnutrition 15 27 ENTITY
****************************************************************************************************
Pt 3 5 ENTITY
risk 9 13 ENTITY
NPO 22 25 ENTITY
hypocaloric diet 28 44 ENTITY
****************************************************************************************************
Estimated Nutritional Needs 3 30 ENTITY
****************************************************************************************************
Calories 3 11 ENTITY
****************************************************************************************************
Protein 3 10 ENTITY
****************************************************************************************************
Fluid 3 8 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
intake 26 32 ENTITY
Adequate 41 49 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
year 17 21 ENTITY
male 26 30 ENTITY
OSH 48 51 ENTITY
intubated 53 62 ENTITY
Pt 70 72 ENTITY
****************************************************************************************************
S/P 3 6 ENTITY
CT 13 15 ENTITY
Stage IV splenic laceration 22 49 ENTITY
TF 62 64 ENTITY
****************************************************************************************************
minimal residuals 3 20 ENTITY
Name8 24 29 ENTITY
RN 39 41 ENTITY
TF 51 53 ENTITY
kcals/89 g Pro 68 82 ENTITY
****************************************************************************************************
Recommend 3 12 ENTITY
changing TF 13 24 ENTITY
nutritional 40 51 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Check chemistry 12 27 ENTITY
daily 37 42 ENTITY
****************************************************************************************************
Change 12 18 ENTITY
TF 19 21 ENTITY
goal 25 29 ENTITY
Fibersource 33 44 ENTITY
HN 45 47 ENTITY
****************************************************************************************************
Pro 3 6 ENTITY
****************************************************************************************************
Pls page 12 20 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Ideal body weight 3 20 ENTITY
****************************************************************************************************
Ideal body weight 5 22 ENTITY
****************************************************************************************************
Adjusted 3 11 ENTITY
****************************************************************************************************
Usual body weight 3 20 ENTITY
****************************************************************************************************
Usual body weight 5 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Diagnosis 3 12 ENTITY
Head Bleed 14 24 ENTITY
****************************************************************************************************
PMH 3 6 ENTITY
DM 9 11 ENTITY
****************************************************************************************************
Food allergies 3 17 ENTITY
intolerances 22 34 ENTITY
****************************************************************************************************
Pertinent medications 3 24 ENTITY
Esmolol 26 33 ENTITY
famotidine 35 45 ENTITY
colace 47 53 ENTITY
lytes 55 60 ENTITY
dilantin 65 73 ENTITY
****************************************************************************************************
ssri 3 7 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phenytoin 3 12 ENTITY
Dilantin 14 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Replete 43 50 ENTITY
fiber 56 61 ENTITY
****************************************************************************************************
Goal rate 13 22 ENTITY
****************************************************************************************************
Residual Check 3 17 ENTITY
feeding 28 35 ENTITY
residual 40 48 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
risk 6 10 ENTITY
malnutrition 15 27 ENTITY
****************************************************************************************************
Pt 3 5 ENTITY
risk 9 13 ENTITY
NPO 22 25 ENTITY
hypocaloric diet 28 44 ENTITY
****************************************************************************************************
Estimated Nutritional Needs 3 30 ENTITY
****************************************************************************************************
Calories 3 11 ENTITY
[**2027**]-2200 13 28 ENTITY
BEE 30 33 ENTITY
****************************************************************************************************
Protein 3 10 ENTITY
****************************************************************************************************
Fluid 3 8 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
intake 26 32 ENTITY
Adequate 34 42 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
****************************************************************************************************
male 9 13 ENTITY
s/p 14 17 ENTITY
head trauma 36 47 ENTITY
right parietal-occipital
 49 74 ENTITY
****************************************************************************************************
SAH 3 6 ENTITY
left intraparenchymal bleed 10 37 ENTITY
contre-coup injury 40 58 ENTITY
Pt 60 62 ENTITY
****************************************************************************************************
tol 27 30 ENTITY
goal TF 31 38 ENTITY
issue 47 52 ENTITY
per chart 54 63 ENTITY
****************************************************************************************************
gag 3 6 ENTITY
extubate 21 29 ENTITY
extubate 53 61 ENTITY
****************************************************************************************************
TF 13 15 ENTITY
needs 36 41 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Tube 3 7 ENTITY
feeding 8 15 ENTITY
recommendations 16 31 ENTITY
****************************************************************************************************
Check chemistry 3 18 ENTITY
daily 28 33 ENTITY
replete 38 45 ENTITY
****************************************************************************************************
Cont 3 7 ENTITY
Bg 8 10 ENTITY
management 11 21 ENTITY
****************************************************************************************************
Pplease page 3 15 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Ideal body weight 3 20 ENTITY
****************************************************************************************************
Ideal body weight 5 22 ENTITY
****************************************************************************************************
Adjusted 3 11 ENTITY
****************************************************************************************************
Usual body weight 3 20 ENTITY
****************************************************************************************************
Usual body weight 5 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Diagnosis 3 12 ENTITY
Head Bleed 14 24 ENTITY
****************************************************************************************************
PMH 3 6 ENTITY
DM 9 11 ENTITY
HTN 13 16 ENTITY
****************************************************************************************************
Food allergies 3 17 ENTITY
intolerances 22 34 ENTITY
****************************************************************************************************
Pertinent medications 3 24 ENTITY
Esmolol 26 33 ENTITY
famotidine 35 45 ENTITY
colace 47 53 ENTITY
lytes 55 60 ENTITY
dilantin 65 73 ENTITY
****************************************************************************************************
ssri 3 7 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phenytoin 3 12 ENTITY
Dilantin 14 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 26 28 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Replete 43 50 ENTITY
fiber 56 61 ENTITY
****************************************************************************************************
Goal rate 13 22 ENTITY
****************************************************************************************************
Residual Check 3 17 ENTITY
feeding 28 35 ENTITY
residual 40 48 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
Soft 7 11 ENTITY
Non-distended 13 26 ENTITY
Non-tender 28 38 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
risk 6 10 ENTITY
malnutrition 15 27 ENTITY
****************************************************************************************************
Pt 3 5 ENTITY
risk 9 13 ENTITY
NPO 22 25 ENTITY
****************************************************************************************************
Estimated Nutritional Needs 3 30 ENTITY
****************************************************************************************************
Calories 3 11 ENTITY
BEE 24 27 ENTITY
****************************************************************************************************
Protein 3 10 ENTITY
****************************************************************************************************
Fluid 3 8 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
intake 26 32 ENTITY
adequate 41 49 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
****************************************************************************************************
male 9 13 ENTITY
s/p 14 17 ENTITY
head trauma 36 47 ENTITY
right parietal-occipital
 49 74 ENTITY
****************************************************************************************************
SAH 3 6 ENTITY
left intraparenchymal bleed 10 37 ENTITY
contre-coup injury 40 58 ENTITY
Pt 60 62 ENTITY
****************************************************************************************************
tol 27 30 ENTITY
goal TF 31 38 ENTITY
issue 47 52 ENTITY
per chart 54 63 ENTITY
****************************************************************************************************
gag 3 6 ENTITY
cough 8 13 ENTITY
LF 29 31 ENTITY
Name3 51 56 ENTITY
plan 66 70 ENTITY
extubate 74 82 ENTITY
****************************************************************************************************
extubate 3 11 ENTITY
TF 33 35 ENTITY
needs 56 61 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Tube 3 7 ENTITY
feeding 8 15 ENTITY
recommendations 16 31 ENTITY
increase 34 42 ENTITY
TF 43 45 ENTITY
Replete 49 56 ENTITY
Fiber 62 67 ENTITY
goal 68 72 ENTITY
****************************************************************************************************
****************************************************************************************************
Check chemistry 3 18 ENTITY
daily 28 33 ENTITY
prn 46 49 ENTITY
****************************************************************************************************
Cont 3 7 ENTITY
Bg 8 10 ENTITY
management 11 21 ENTITY
****************************************************************************************************
Please page 3 14 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
medications 13 24 ENTITY
pepcid 26 32 ENTITY
Heparin 34 41 ENTITY
docusate 43 51 ENTITY
Abx 53 56 ENTITY
RISS 58 62 ENTITY
****************************************************************************************************
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Replete 43 50 ENTITY
****************************************************************************************************
****************************************************************************************************
GI 3 5 ENTITY
soft/+bs 12 20 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
****************************************************************************************************
Pt s/p 3 9 ENTITY
IVC 24 27 ENTITY
****************************************************************************************************
infusing 12 20 ENTITY
****************************************************************************************************
goal 20 24 ENTITY
estimated kcal 42 56 ENTITY
****************************************************************************************************
increase 36 44 ENTITY
goal rate 45 54 ENTITY
TF 58 60 ENTITY
****************************************************************************************************
****************************************************************************************************
underfeeding 3 15 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Multivitamin 3 15 ENTITY
Mineral supplement 18 36 ENTITY
vua TF 38 44 ENTITY
****************************************************************************************************
Tube 3 7 ENTITY
feeding 8 15 ENTITY
recommendations 16 31 ENTITY
Increase 33 41 ENTITY
rate 50 54 ENTITY
****************************************************************************************************
kcals/112 gr aa 3 18 ENTITY
****************************************************************************************************
BG 3 5 ENTITY
management 6 16 ENTITY
****************************************************************************************************
page 10 14 ENTITY
****************************************************************************************************
****************************************************************************************************
NPO 34 37 ENTITY
****************************************************************************************************
days 3 7 ENTITY
patient's 12 21 ENTITY
diet 22 26 ENTITY
advanced 45 53 ENTITY
tolerated 58 67 ENTITY
****************************************************************************************************
nutrition support 36 53 ENTITY
****************************************************************************************************
Potential 3 12 ENTITY
nutrition risk 17 31 ENTITY
Patient 33 40 ENTITY
monitored 47 56 ENTITY
****************************************************************************************************
intervention 3 15 ENTITY
****************************************************************************************************
Comments 3 11 ENTITY
****************************************************************************************************
Pt s/p LRRT [**4 3 19 ENTITY
c/b hypoxia 27 38 ENTITY
increased 43 52 ENTITY
O2 53 55 ENTITY
requirements 56 68 ENTITY
PACU 72 76 ENTITY
****************************************************************************************************
clears 3 9 ENTITY
Clinically improving 28 48 ENTITY
****************************************************************************************************
floor 3 8 ENTITY
****************************************************************************************************
advance diet 16 28 ENTITY
patient 50 57 ENTITY
****************************************************************************************************
nutrition support 3 20 ENTITY
****************************************************************************************************
progress 17 25 ENTITY
tolerance 30 39 ENTITY
****************************************************************************************************
questions 18 27 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Screening 3 12 ENTITY
Noted 46 51 ENTITY
patient 52 59 ENTITY
comfort 63 70 ENTITY
****************************************************************************************************
measures 3 11 ENTITY
time 58 62 ENTITY
****************************************************************************************************
consult 15 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
patient 3 10 ENTITY
patient 58 65 ENTITY
****************************************************************************************************
difficulty 3 13 ENTITY
swallowing 14 24 ENTITY
damaged 33 40 ENTITY
salivary glands 41 56 ENTITY
XRT 62 65 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Ideal body weight 3 20 ENTITY
****************************************************************************************************
Ideal body weight 5 22 ENTITY
****************************************************************************************************
Adjusted 3 11 ENTITY
****************************************************************************************************
Usual body weight 3 20 ENTITY
****************************************************************************************************
Usual body weight 5 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Diagnosis 3 12 ENTITY
facial fx
 14 24 ENTITY
****************************************************************************************************
PMH 3 6 ENTITY
breast ca 9 18 ENTITY
tongue ca 20 29 ENTITY
ovarian ca 31 41 ENTITY
polymyalgia 43 54 ENTITY
NIDDM 56 61 ENTITY
vertigo 63 70 ENTITY
****************************************************************************************************
falls 6 11 ENTITY
****************************************************************************************************
Food allergies 3 17 ENTITY
intolerances 22 34 ENTITY
****************************************************************************************************
medications 13 24 ENTITY
RISS 26 30 ENTITY
protonix 40 48 ENTITY
KCl 50 53 ENTITY
Dextrose 64 72 ENTITY
****************************************************************************************************
normal saline 10 23 ENTITY
KCl 29 32 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 7 12 ENTITY
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
NPO 43 46 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
obese 7 12 ENTITY
bowel sounds 16 28 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
Obese 3 8 ENTITY
risk 13 17 ENTITY
malnutrition 22 34 ENTITY
****************************************************************************************************
Pt 3 5 ENTITY
risk 9 13 ENTITY
NPO 22 25 ENTITY
hypocaloric diet 28 44 ENTITY
trauma 46 52 ENTITY
****************************************************************************************************
Estimated Nutritional Needs 3 30 ENTITY
body 49 53 ENTITY
****************************************************************************************************
Calories 3 11 ENTITY
****************************************************************************************************
Protein 3 10 ENTITY
****************************************************************************************************
Fluid 3 8 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
intake 26 32 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
NPO 48 51 ENTITY
status 52 58 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
year 17 21 ENTITY
female 26 32 ENTITY
admitted 33 41 ENTITY
hospital S/P 55 67 ENTITY
****************************************************************************************************
home 6 10 ENTITY
multiple injuries 16 33 ENTITY
Le Forte fx 44 55 ENTITY
multiple 57 65 ENTITY
sinus 66 71 ENTITY
****************************************************************************************************
fx 3 5 ENTITY
orbital fx 7 17 ENTITY
facial 19 25 ENTITY
tongue swelling 30 45 ENTITY
Patient 47 54 ENTITY
SLP 63 66 ENTITY
[**6-4** 70 78 ENTITY
****************************************************************************************************
patient 19 26 ENTITY
NPO 34 37 ENTITY
patient 42 49 ENTITY
****************************************************************************************************
diet 2 6 ENTITY
****************************************************************************************************
advanced 3 11 ENTITY
initiating 21 31 ENTITY
tube feedings 32 45 ENTITY
****************************************************************************************************
nutritional decline 3 22 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
diet 6 10 ENTITY
tube feedings 49 62 ENTITY
****************************************************************************************************
Replete 3 10 ENTITY
Fiber 16 21 ENTITY
goal 44 48 ENTITY
****************************************************************************************************
protein 14 21 ENTITY
****************************************************************************************************
Check residuals 3 18 ENTITY
****************************************************************************************************
Monitor lytes 3 16 ENTITY
glucose 21 28 ENTITY
initiation 34 44 ENTITY
tube feeding 48 60 ENTITY
****************************************************************************************************
non-dextrose IV fluids 13 35 ENTITY
tube feedings 41 54 ENTITY
****************************************************************************************************
Implement 3 12 ENTITY
SLP 17 20 ENTITY
****************************************************************************************************
questions 67 76 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
oriented 3 11 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
AM 33 35 ENTITY
****************************************************************************************************
****************************************************************************************************
medications 13 24 ENTITY
Ranitidine 26 36 ENTITY
Multi-vitamin 38 51 ENTITY
ABX 53 56 ENTITY
Folic Acid 58 68 ENTITY
****************************************************************************************************
Thiamine 3 11 ENTITY
Coumadin 13 21 ENTITY
Lasix 23 28 ENTITY
Colace 30 36 ENTITY
KCl 45 48 ENTITY
repletion 56 65 ENTITY
****************************************************************************************************
Magnesium sulfate 3 20 ENTITY
repletion 25 34 ENTITY
Heparin drip 37 49 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Amylase 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Triglyceride 3 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 7 12 ENTITY
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Diet 43 47 ENTITY
NPO 49 52 ENTITY
****************************************************************************************************
Calorie counts 3 17 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
soft 7 11 ENTITY
bowel sounds 17 29 ENTITY
stool 37 42 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
****************************************************************************************************
year 6 10 ENTITY
male 15 19 ENTITY
mitral valve endocarditis 25 50 ENTITY
preop stroke 52 64 ENTITY
MVR 69 72 ENTITY
****************************************************************************************************
Name8 18 23 ENTITY
NamePattern1 59 71 ENTITY
NamePattern1 95 107 ENTITY
debridement 118 129 ENTITY
aortic valve [**1 133 150 ENTITY
Patient 159 166 ENTITY
****************************************************************************************************
prolonged 3 12 ENTITY
poor 13 17 ENTITY
****************************************************************************************************
ground solids 24 37 ENTITY
thin liquid 40 51 ENTITY
****************************************************************************************************
diet 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
calories 11 19 ENTITY
video swallow 41 54 ENTITY
evaluation 55 65 ENTITY
AM 71 73 ENTITY
****************************************************************************************************
SLP 3 6 ENTITY
NPO 17 20 ENTITY
PA 43 45 ENTITY
****************************************************************************************************
PEG placement 10 23 ENTITY
****************************************************************************************************
NGT 30 33 ENTITY
patient 48 55 ENTITY
****************************************************************************************************
PEG 14 17 ENTITY
long term 22 31 ENTITY
****************************************************************************************************
nutritional decline 3 22 ENTITY
optimize 27 35 ENTITY
nutrition 36 45 ENTITY
post-op healing 50 65 ENTITY
Noted 68 73 ENTITY
****************************************************************************************************
multiple 3 11 ENTITY
lyte 12 16 ENTITY
repletions 17 27 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
diet 18 22 ENTITY
nutrition support 25 42 ENTITY
****************************************************************************************************
NPO 3 6 ENTITY
SLP 11 14 ENTITY
recommendations 15 30 ENTITY
****************************************************************************************************
SLP 13 16 ENTITY
follow up 17 26 ENTITY
****************************************************************************************************
Tube 10 14 ENTITY
feeding 15 22 ENTITY
recommendations 23 38 ENTITY
PEG 51 54 ENTITY
****************************************************************************************************
feeding tube 18 30 ENTITY
Isosource 55 64 ENTITY
****************************************************************************************************
tolerated 23 32 ENTITY
goal 36 40 ENTITY
calories 59 67 ENTITY
****************************************************************************************************
protein 7 14 ENTITY
****************************************************************************************************
tube feed 32 41 ENTITY
****************************************************************************************************
Multivitamin 10 22 ENTITY
Mineral supplement 25 43 ENTITY
****************************************************************************************************
Check chemistry 10 25 ENTITY
daily 35 40 ENTITY
****************************************************************************************************
Replete 13 20 ENTITY
lytes 21 26 ENTITY
PRN 27 30 ENTITY
****************************************************************************************************
page 16 20 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Patient oob 3 14 ENTITY
tube feed running 16 33 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
medications 13 24 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Amylase 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Triglyceride 3 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Replete 43 50 ENTITY
fiber 56 61 ENTITY
****************************************************************************************************
strength 3 11 ENTITY
****************************************************************************************************
rate 12 16 ENTITY
Advance rate 28 40 ENTITY
Goal rate 54 63 ENTITY
****************************************************************************************************
Residual Check 3 17 ENTITY
feeding 28 35 ENTITY
residual 40 48 ENTITY
****************************************************************************************************
Flush 3 8 ENTITY
water 18 23 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
Abdominal 7 16 ENTITY
Soft 18 22 ENTITY
Non-tender 39 49 ENTITY
Bowel sounds 51 63 ENTITY
****************************************************************************************************
PEG site 3 11 ENTITY
clean 12 17 ENTITY
dry 22 25 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
year 6 10 ENTITY
male 15 19 ENTITY
PEG placement yesterday 25 48 ENTITY
tube feed 50 59 ENTITY
****************************************************************************************************
yesterday 3 12 ENTITY
tolerated 14 23 ENTITY
Isosource 24 33 ENTITY
tube feed ordered 44 61 ENTITY
changed 62 69 ENTITY
****************************************************************************************************
Replete 3 10 ENTITY
fiber 16 21 ENTITY
morning 27 34 ENTITY
spoke 36 41 ENTITY
patient 65 72 ENTITY
****************************************************************************************************
special tube feed 6 23 ENTITY
Fibersource 45 56 ENTITY
HN 57 59 ENTITY
****************************************************************************************************
formula 3 10 ENTITY
excess 20 26 ENTITY
amount 27 33 ENTITY
protein 37 44 ENTITY
Noted discharge 46 61 ENTITY
****************************************************************************************************
progress 3 11 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Tube 10 14 ENTITY
feeding 15 22 ENTITY
Fibersource 24 35 ENTITY
HN 36 38 ENTITY
goal 39 43 ENTITY
****************************************************************************************************
****************************************************************************************************
Check chemistry 10 25 ENTITY
daily 35 40 ENTITY
****************************************************************************************************
BS 19 21 ENTITY
management 22 32 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Patient asleep 3 17 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
AM 33 35 ENTITY
****************************************************************************************************
****************************************************************************************************
medications 13 24 ENTITY
Multiple 26 34 ENTITY
Vitamins 35 43 ENTITY
Furosemide 45 55 ENTITY
Docusate Sodium 57 72 ENTITY
****************************************************************************************************
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Amylase 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Triglyceride 3 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Non-Standard 43 55 ENTITY
TPN 56 59 ENTITY
Date 65 69 ENTITY
****************************************************************************************************
****************************************************************************************************
Replete 3 10 ENTITY
fiber 16 21 ENTITY
****************************************************************************************************
rate 12 16 ENTITY
Advance rate 28 40 ENTITY
Goal rate 54 63 ENTITY
****************************************************************************************************
Residual Check 3 17 ENTITY
feeding 28 35 ENTITY
residual 40 48 ENTITY
****************************************************************************************************
Flush 3 8 ENTITY
water 18 23 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
Abdominal 7 16 ENTITY
Soft 18 22 ENTITY
Non-tender 39 49 ENTITY
Bowel sounds 51 63 ENTITY
****************************************************************************************************
PEG site 3 11 ENTITY
clean 12 17 ENTITY
dry 22 25 ENTITY
gravity drainage 34 50 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
year 6 10 ENTITY
male 15 19 ENTITY
Mitral valve endocarditis 25 50 ENTITY
preop stroke 52 64 ENTITY
MVR 69 72 ENTITY
****************************************************************************************************
debridement 7 18 ENTITY
aortic valve [** 22 38 ENTITY
patient 47 54 ENTITY
evaluation 68 78 ENTITY
****************************************************************************************************
TPN 3 6 ENTITY
weekend 24 31 ENTITY
PEG 47 50 ENTITY
PEG 55 58 ENTITY
****************************************************************************************************
yesterday 3 12 ENTITY
plan 14 18 ENTITY
tube feeds 28 38 ENTITY
current 46 53 ENTITY
tube feed 54 63 ENTITY
****************************************************************************************************
meeting 3 10 ENTITY
patient 11 18 ENTITY
****************************************************************************************************
Noted 19 24 ENTITY
patient 25 32 ENTITY
post 38 42 ENTITY
****************************************************************************************************
fluid restricted formula 19 43 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
TPN 34 37 ENTITY
****************************************************************************************************
tube feed 3 12 ENTITY
****************************************************************************************************
Tube feeding 10 22 ENTITY
Isosource 1.5cal goal 24 45 ENTITY
****************************************************************************************************
****************************************************************************************************
Start tube 10 20 ENTITY
adv 41 44 ENTITY
tol 55 58 ENTITY
****************************************************************************************************
Check chemistry 10 25 ENTITY
daily 35 40 ENTITY
****************************************************************************************************
BS 19 21 ENTITY
management 22 32 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
patient 3 10 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
AM 33 35 ENTITY
****************************************************************************************************
****************************************************************************************************
medications 13 24 ENTITY
D5 @10 ml/hr 26 38 ENTITY
KCl 40 43 ENTITY
repletion 52 61 ENTITY
RISS 64 68 ENTITY
IV 70 72 ENTITY
****************************************************************************************************
lansoprazole 8 20 ENTITY
famotidine 22 32 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 24 26 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Amylase 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Triglyceride 3 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
NPO 43 46 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
soft 7 11 ENTITY
hypoactive bowel sounds 13 36 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
Patient s/p video swallow 14 39 ENTITY
patient 68 75 ENTITY
****************************************************************************************************
NPO 3 6 ENTITY
consult 17 24 ENTITY
PPN 29 32 ENTITY
recommendations 33 48 ENTITY
PA 70 72 ENTITY
****************************************************************************************************
plan 3 7 ENTITY
PEG placement 15 28 ENTITY
Monday 32 38 ENTITY
supplement 46 56 ENTITY
nutrition 57 66 ENTITY
****************************************************************************************************
parenteral nutrition 3 23 ENTITY
PEG 30 33 ENTITY
Patient 54 61 ENTITY
PICC 67 71 ENTITY
****************************************************************************************************
Day 3 6 ENTITY
TPN 9 12 ENTITY
ordered 13 20 ENTITY
NGT 39 42 ENTITY
week 68 72 ENTITY
****************************************************************************************************
team 32 36 ENTITY
patient 44 51 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Day 12 15 ENTITY
TPN 18 21 ENTITY
****************************************************************************************************
glycemic control 20 36 ENTITY
goal 48 52 ENTITY
TPN 53 56 ENTITY
****************************************************************************************************
amino 17 22 ENTITY
****************************************************************************************************
Check 12 17 ENTITY
TG 18 20 ENTITY
lipids 26 32 ENTITY
****************************************************************************************************
PEG 17 20 ENTITY
Isosource 39 48 ENTITY
HN 49 51 ENTITY
****************************************************************************************************
goal 3 7 ENTITY
protein 39 46 ENTITY
****************************************************************************************************
questions 64 73 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Patient asleep 3 17 ENTITY
Name8 22 27 ENTITY
MD 29 31 ENTITY
RN 39 41 ENTITY
patient 43 50 ENTITY
po food 63 70 ENTITY
supplements 74 85 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
AM 34 36 ENTITY
****************************************************************************************************
fluid 13 18 ENTITY
****************************************************************************************************
****************************************************************************************************
Ideal body weight 3 20 ENTITY
****************************************************************************************************
Ideal body weight 5 22 ENTITY
****************************************************************************************************
Adjusted 3 11 ENTITY
****************************************************************************************************
Usual body weight 3 20 ENTITY
****************************************************************************************************
Usual body weight 5 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Diagnosis 3 12 ENTITY
MITRAL VALVE 14 26 ENTITY
****************************************************************************************************
PMHx 3 7 ENTITY
no 16 18 ENTITY
years 37 42 ENTITY
****************************************************************************************************
Food allergies 3 17 ENTITY
intolerances 22 34 ENTITY
****************************************************************************************************
medications 13 24 ENTITY
Furosemide 26 36 ENTITY
Milrinone 39 48 ENTITY
Multivitamins 50 63 ENTITY
Thiamine 65 73 ENTITY
****************************************************************************************************
FoLIC Acid 3 13 ENTITY
Nicotine 15 23 ENTITY
Patch 24 29 ENTITY
Heparin 31 38 ENTITY
Docusate Sodium 40 55 ENTITY
Nafcillin 58 67 ENTITY
****************************************************************************************************
Potassium Chloride 3 21 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Regular 43 50 ENTITY
Supplement 52 62 ENTITY
Ensure 64 70 ENTITY
****************************************************************************************************
Plus breakfast 3 17 ENTITY
lunch 19 24 ENTITY
dinner
 26 33 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
Abdominal 7 16 ENTITY
Soft 18 22 ENTITY
Non-tender 24 34 ENTITY
Bowel sounds 36 48 ENTITY
****************************************************************************************************
Extremities 3 14 ENTITY
Right lower extremity edema 16 43 ENTITY
Absent 45 51 ENTITY
Left lower extremity 53 73 ENTITY
****************************************************************************************************
edema 3 8 ENTITY
****************************************************************************************************
Skin 3 7 ENTITY
Rash 16 20 ENTITY
upper 22 27 ENTITY
occ petechiae 43 56 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
risk 6 10 ENTITY
malnutrition 15 27 ENTITY
****************************************************************************************************
Patient 0 7 ENTITY
risk 11 15 ENTITY
Low 25 28 ENTITY
intake 32 38 ENTITY
illness 48 55 ENTITY
multipl 73 80 ENTITY
****************************************************************************************************
non-hemorrhagic 8 23 ENTITY
****************************************************************************************************
infarcts 3 11 ENTITY
suspicious 12 22 ENTITY
septic emboli 27 40 ENTITY
****************************************************************************************************
Estimated Nutritional Needs 3 30 ENTITY
****************************************************************************************************
Calories 3 11 ENTITY
BEE 24 27 ENTITY
****************************************************************************************************
Protein 3 10 ENTITY
****************************************************************************************************
Fluid 3 8 ENTITY
****************************************************************************************************
Calculations 3 15 ENTITY
Admit weight 26 38 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
intake 26 32 ENTITY
Inadequate 34 44 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
****************************************************************************************************
year 6 10 ENTITY
male 15 19 ENTITY
staphylococcus aureus 34 55 ENTITY
bacterial 56 65 ENTITY
****************************************************************************************************
endocarditis 3 15 ENTITY
severe 21 27 ENTITY
mitral regurgitation [**3 28 53 ENTITY
****************************************************************************************************
vegetations 3 14 ENTITY
flail leaflet 19 32 ENTITY
Patient transferred 35 54 ENTITY
CT surgery 98 108 ENTITY
evaluation 109 119 ENTITY
management 133 143 ENTITY
****************************************************************************************************
Patient 3 10 ENTITY
swallow 26 33 ENTITY
evaluation 34 44 ENTITY
regular diet 59 71 ENTITY
****************************************************************************************************
patient 7 14 ENTITY
spoke 36 41 ENTITY
morning 55 62 ENTITY
****************************************************************************************************
NGT 15 18 ENTITY
placement 19 28 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Po 10 12 ENTITY
tolerance 16 25 ENTITY
****************************************************************************************************
Tube 10 14 ENTITY
feeding 15 22 ENTITY
recommendations 23 38 ENTITY
Nutren Pulmonary goal 40 61 ENTITY
****************************************************************************************************
****************************************************************************************************
Monitor tube feed tolerance 10 37 ENTITY
****************************************************************************************************
Check chemistry 10 25 ENTITY
daily 35 40 ENTITY
replete 42 49 ENTITY
****************************************************************************************************
phos binder 26 37 ENTITY
serum phos 41 51 ENTITY
elevated 60 68 ENTITY
****************************************************************************************************
Start regular 10 23 ENTITY
serum glucose 49 62 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Patient asleep 3 17 ENTITY
Name8 22 27 ENTITY
MD 29 31 ENTITY
RN 39 41 ENTITY
patient 43 50 ENTITY
po food 63 70 ENTITY
supplements 74 85 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
AM 34 36 ENTITY
****************************************************************************************************
fluid 13 18 ENTITY
****************************************************************************************************
****************************************************************************************************
Ideal body weight 3 20 ENTITY
****************************************************************************************************
Ideal body weight 5 22 ENTITY
****************************************************************************************************
Adjusted 3 11 ENTITY
****************************************************************************************************
Usual body weight 3 20 ENTITY
****************************************************************************************************
Usual body weight 5 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Diagnosis 3 12 ENTITY
MITRAL VALVE 14 26 ENTITY
****************************************************************************************************
PMHx 3 7 ENTITY
no 16 18 ENTITY
years 37 42 ENTITY
****************************************************************************************************
Food allergies 3 17 ENTITY
intolerances 22 34 ENTITY
****************************************************************************************************
medications 13 24 ENTITY
Furosemide 26 36 ENTITY
Milrinone 39 48 ENTITY
Multivitamins 50 63 ENTITY
Thiamine 65 73 ENTITY
****************************************************************************************************
FoLIC Acid 3 13 ENTITY
Nicotine 15 23 ENTITY
Patch 24 29 ENTITY
Heparin 31 38 ENTITY
Docusate Sodium 40 55 ENTITY
Nafcillin 58 67 ENTITY
****************************************************************************************************
Potassium Chloride 3 21 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Regular 43 50 ENTITY
Supplement 52 62 ENTITY
Ensure 64 70 ENTITY
****************************************************************************************************
Plus breakfast 3 17 ENTITY
lunch 19 24 ENTITY
dinner
 26 33 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
Abdominal 7 16 ENTITY
Soft 18 22 ENTITY
Non-tender 24 34 ENTITY
Bowel sounds 36 48 ENTITY
****************************************************************************************************
Extremities 3 14 ENTITY
Right lower extremity edema 16 43 ENTITY
Absent 45 51 ENTITY
Left lower extremity 53 73 ENTITY
****************************************************************************************************
edema 3 8 ENTITY
****************************************************************************************************
Skin 3 7 ENTITY
Rash 16 20 ENTITY
upper 22 27 ENTITY
occ petechiae 43 56 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
risk 6 10 ENTITY
malnutrition 15 27 ENTITY
****************************************************************************************************
Patient 0 7 ENTITY
risk 11 15 ENTITY
Low 25 28 ENTITY
intake 32 38 ENTITY
illness 48 55 ENTITY
multipl 73 80 ENTITY
****************************************************************************************************
non-hemorrhagic 8 23 ENTITY
****************************************************************************************************
infarcts 3 11 ENTITY
suspicious 12 22 ENTITY
septic emboli 27 40 ENTITY
****************************************************************************************************
Estimated Nutritional Needs 3 30 ENTITY
****************************************************************************************************
Calories 3 11 ENTITY
BEE 24 27 ENTITY
****************************************************************************************************
Protein 3 10 ENTITY
****************************************************************************************************
Fluid 3 8 ENTITY
****************************************************************************************************
Calculations 3 15 ENTITY
Admit weight 26 38 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
intake 26 32 ENTITY
Inadequate 34 44 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
****************************************************************************************************
year 6 10 ENTITY
male 15 19 ENTITY
staphylococcus aureus 34 55 ENTITY
bacterial 56 65 ENTITY
****************************************************************************************************
endocarditis 3 15 ENTITY
severe 21 27 ENTITY
mitral regurgitation [**3 28 53 ENTITY
****************************************************************************************************
vegetations 3 14 ENTITY
flail leaflet 19 32 ENTITY
Patient transferred 35 54 ENTITY
CT surgery 98 108 ENTITY
evaluation 109 119 ENTITY
management 133 143 ENTITY
****************************************************************************************************
Patient 3 10 ENTITY
swallow 26 33 ENTITY
evaluation 34 44 ENTITY
regular diet 59 71 ENTITY
****************************************************************************************************
patient 7 14 ENTITY
spoke 36 41 ENTITY
morning 55 62 ENTITY
****************************************************************************************************
NGT 15 18 ENTITY
placement 19 28 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Po 10 12 ENTITY
tolerance 16 25 ENTITY
****************************************************************************************************
Tube 10 14 ENTITY
feeding 15 22 ENTITY
recommendations 23 38 ENTITY
Nutren Pulmonary goal 40 61 ENTITY
****************************************************************************************************
****************************************************************************************************
Monitor tube feed tolerance 10 37 ENTITY
****************************************************************************************************
Check chemistry 10 25 ENTITY
daily 35 40 ENTITY
replete 42 49 ENTITY
****************************************************************************************************
phos binder 26 37 ENTITY
serum phos 41 51 ENTITY
elevated 60 68 ENTITY
****************************************************************************************************
Start regular 10 23 ENTITY
serum glucose 49 62 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Cardiology Teaching 3 22 ENTITY
Physician 23 32 ENTITY
Note 33 37 ENTITY
****************************************************************************************************
day 11 14 ENTITY
examined 22 30 ENTITY
physically present 39 57 ENTITY
****************************************************************************************************
resident 3 11 ENTITY
fellow 14 20 ENTITY
portions 33 41 ENTITY
services 49 57 ENTITY
****************************************************************************************************
plans 33 38 ENTITY
****************************************************************************************************
remarks 29 36 ENTITY
****************************************************************************************************
Medical Decision Making 3 26 ENTITY
****************************************************************************************************
Patient 3 10 ENTITY
improving 18 27 ENTITY
aggressive 41 51 ENTITY
diuresis 52 60 ENTITY
****************************************************************************************************
initiation 3 13 ENTITY
Milrinone 17 26 ENTITY
dyspneic 39 47 ENTITY
saturations 52 63 ENTITY
****************************************************************************************************
Renal service 17 30 ENTITY
ARF 37 40 ENTITY
multifactorial 44 58 ENTITY
sediment 63 71 ENTITY
****************************************************************************************************
ATM 7 10 ENTITY
Createnine 12 22 ENTITY
stable 26 32 ENTITY
speaking 53 61 ENTITY
****************************************************************************************************
somnolent 3 12 ENTITY
wife 17 21 ENTITY
night 82 87 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
K 17 18 ENTITY
K 26 27 ENTITY
continuing 53 63 ENTITY
Nafcillin 64 73 ENTITY
****************************************************************************************************
bllod cultures 8 22 ENTITY
fever 28 33 ENTITY
spikes 34 40 ENTITY
fevers 52 58 ENTITY
****************************************************************************************************
image 22 27 ENTITY
abdomen 32 39 ENTITY
intermittent 59 71 ENTITY
****************************************************************************************************
abdominal pain 3 17 ENTITY
C-[**Doctor First Name 91** 19 46 ENTITY
****************************************************************************************************
delay surgery 3 16 ENTITY
****************************************************************************************************
Entered 37 44 ENTITY
By:[**Name (NI) **] [**Last Name (NamePattern1) **] 45 96 ENTITY
MD 98 100 ENTITY
****************************************************************************************************
on:[**2113-1-20**] 3 21 ENTITY
PM 28 30 ENTITY
****************************************************************************************************
****************************************************************************************************
patient 49 56 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
AM 32 34 ENTITY
****************************************************************************************************
****************************************************************************************************
medications 13 24 ENTITY
Milrinone 26 35 ENTITY
protonix 37 45 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Diet 43 47 ENTITY
Regular/ heart healthy 49 71 ENTITY
****************************************************************************************************
TID 20 23 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
abd soft 7 15 ENTITY
bowel sounds 17 29 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
year 6 10 ENTITY
male 15 19 ENTITY
staphylococcus aureus 34 55 ENTITY
bacterial 56 65 ENTITY
****************************************************************************************************
endocarditis 3 15 ENTITY
severe 21 27 ENTITY
mitral regurgitation [**3 28 53 ENTITY
****************************************************************************************************
vegetations 3 14 ENTITY
flail leaflet 19 32 ENTITY
Patient transferred 35 54 ENTITY
CT surgery 101 111 ENTITY
evaluation 112 122 ENTITY
management 136 146 ENTITY
****************************************************************************************************
Patient 3 10 ENTITY
swallow 26 33 ENTITY
evaluation 34 44 ENTITY
regular diet 59 71 ENTITY
****************************************************************************************************
patient 7 14 ENTITY
****************************************************************************************************
mental status 9 22 ENTITY
****************************************************************************************************
Team 4 8 ENTITY
NGT 33 36 ENTITY
tube feeds 50 60 ENTITY
****************************************************************************************************
feeding 3 10 ENTITY
recommendations 15 30 ENTITY
****************************************************************************************************
amount 3 9 ENTITY
****************************************************************************************************
patient 2 9 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
estimated 26 35 ENTITY
recommend 43 52 ENTITY
Nutren Pulmonary
 53 70 ENTITY
****************************************************************************************************
****************************************************************************************************
po 23 25 ENTITY
intake 26 32 ENTITY
mental status 37 50 ENTITY
tube
 62 67 ENTITY
****************************************************************************************************
feeds 3 8 ENTITY
****************************************************************************************************
g- 20 22 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
intub 3 8 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
medications 13 24 ENTITY
Multivitamins 26 39 ENTITY
FoLIC Acid 41 51 ENTITY
Pantoprazole 54 66 ENTITY
****************************************************************************************************
Potassium Chloride 3 21 ENTITY
Norepinephrine drip 23 42 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Amylase 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Triglyceride 3 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Nutren Pulmonary Full strength 43 73 ENTITY
****************************************************************************************************
Banana flakes 14 27 ENTITY
****************************************************************************************************
rate 12 16 ENTITY
Advance rate 28 40 ENTITY
Goal rate 54 63 ENTITY
****************************************************************************************************
Residual Check 3 17 ENTITY
feeding 28 35 ENTITY
residual 40 48 ENTITY
****************************************************************************************************
water 19 24 ENTITY
q8h 25 28 ENTITY
morning 59 66 ENTITY
****************************************************************************************************
NPO 3 6 ENTITY
Procedure Start 11 26 ENTITY
12:01AM Procedure 34 51 ENTITY
CSURG 53 58 ENTITY
****************************************************************************************************
****************************************************************************************************
resume diet 10 21 ENTITY
procedure 28 37 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
soft 12 16 ENTITY
ND 18 20 ENTITY
NT 22 24 ENTITY
NBS 26 29 ENTITY
****************************************************************************************************
Ext 3 6 ENTITY
pulses 11 17 ENTITY
edema 22 27 ENTITY
extremtiies 37 48 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
year 7 11 ENTITY
male 16 20 ENTITY
staphlyococcus aureus 35 56 ENTITY
bacterial 57 66 ENTITY
****************************************************************************************************
endocarditis 3 15 ENTITY
severe 21 27 ENTITY
mitral regurgitation [**3 28 53 ENTITY
****************************************************************************************************
vegetations 3 14 ENTITY
flail leaflet 19 32 ENTITY
patient 34 41 ENTITY
AVR 66 69 ENTITY
****************************************************************************************************
MVR 3 6 ENTITY
debridement 12 23 ENTITY
epidural abscess 31 47 ENTITY
Patient 50 57 ENTITY
****************************************************************************************************
nutrition 3 12 ENTITY
admission 19 28 ENTITY
tube feed 43 52 ENTITY
****************************************************************************************************
high risk 3 12 ENTITY
malnutrition 17 29 ENTITY
post cardiac 57 69 ENTITY
****************************************************************************************************
surgery 3 10 ENTITY
restart tube feed 24 41 ENTITY
patient 45 52 ENTITY
****************************************************************************************************
food 3 7 ENTITY
admission 13 22 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Multivitamin 10 22 ENTITY
Mineral supplement 25 43 ENTITY
discontinue 45 56 ENTITY
****************************************************************************************************
tube feed restarts 6 24 ENTITY
****************************************************************************************************
Tube 10 14 ENTITY
feeding 15 22 ENTITY
recommendations 23 38 ENTITY
restart tube feed 40 57 ENTITY
****************************************************************************************************
Check chemistry 10 25 ENTITY
daily 35 40 ENTITY
replete 42 49 ENTITY
****************************************************************************************************
Start regular 10 23 ENTITY
serum glucose 49 62 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Wt 3 5 ENTITY
****************************************************************************************************
IBW 3 6 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
Diabetes 8 16 ENTITY
Dyslipidemia 17 29 ENTITY
Hypertension 30 42 ENTITY
****************************************************************************************************
worst 3 8 ENTITY
left posterior cerebral artery 18 48 ENTITY
infarct(neurologic
 49 68 ENTITY
****************************************************************************************************
deficits 3 11 ENTITY
left sided facial droop 22 45 ENTITY
right sided neglect 47 66 ENTITY
right
 68 74 ENTITY
****************************************************************************************************
sided hemiparesis 3 20 ENTITY
expressive aphasia 22 40 ENTITY
****************************************************************************************************
MVR(29mm St. [** 3 19 ENTITY
Mechanical Valve 48 64 ENTITY
Debridement 71 82 ENTITY
Aortic Valve 86 98 ENTITY
****************************************************************************************************
Teeth extraction 3 19 ENTITY
****************************************************************************************************
Diet Order 3 13 ENTITY
****************************************************************************************************
year 7 11 ENTITY
male 16 20 ENTITY
rehab 28 33 ENTITY
M.   38 42 ENTITY
Patient 42 49 ENTITY
****************************************************************************************************
hospital CT 3 14 ENTITY
depressed 22 31 ENTITY
right frontal sinus 38 57 ENTITY
Patient 59 66 ENTITY
****************************************************************************************************
transferred 3 14 ENTITY
****************************************************************************************************
Potential 3 12 ENTITY
nutrition risk 17 31 ENTITY
Patient 33 40 ENTITY
monitored 47 56 ENTITY
****************************************************************************************************
intervention 3 15 ENTITY
****************************************************************************************************
Comments 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
Wt 3 5 ENTITY
****************************************************************************************************
IBW 3 6 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
Diabetes 8 16 ENTITY
Dyslipidemia 17 29 ENTITY
Hypertension 30 42 ENTITY
****************************************************************************************************
worst 3 8 ENTITY
left posterior cerebral artery 18 48 ENTITY
infarct(neurologic
 49 68 ENTITY
****************************************************************************************************
deficits 3 11 ENTITY
left sided facial droop 22 45 ENTITY
right sided neglect 47 66 ENTITY
right
 68 74 ENTITY
****************************************************************************************************
sided hemiparesis 3 20 ENTITY
expressive aphasia 22 40 ENTITY
****************************************************************************************************
MVR(29mm St. [** 3 19 ENTITY
Mechanical Valve 48 64 ENTITY
Debridement 71 82 ENTITY
Aortic Valve 86 98 ENTITY
****************************************************************************************************
Teeth extraction 3 19 ENTITY
****************************************************************************************************
Diet Order 3 13 ENTITY
****************************************************************************************************
year 6 10 ENTITY
male 15 19 ENTITY
coumadin 24 32 ENTITY
prosthetic mitral valve 39 62 ENTITY
****************************************************************************************************
Staphylococcal endocarditis 10 37 ENTITY
MV 41 43 ENTITY
AV 48 50 ENTITY
c/b multiple 52 64 ENTITY
embolic 65 72 ENTITY
****************************************************************************************************
strokes 3 10 ENTITY
rehab s/p fall 25 39 ENTITY
Patient 41 48 ENTITY
diet 60 64 ENTITY
****************************************************************************************************
vomiting 6 14 ENTITY
Patient reports 16 31 ENTITY
po 44 46 ENTITY
intake 47 53 ENTITY
****************************************************************************************************
Patient 22 29 ENTITY
wt loss 40 47 ENTITY
PTA 48 51 ENTITY
usual body 66 76 ENTITY
****************************************************************************************************
supplements 7 18 ENTITY
increase 22 30 ENTITY
caloric intake 31 45 ENTITY
****************************************************************************************************
Recommendations 3 18 ENTITY
****************************************************************************************************
Encourage pos 12 25 ENTITY
supplements 30 41 ENTITY
****************************************************************************************************
TID 28 31 ENTITY
****************************************************************************************************
questions 64 73 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
oriented 3 11 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
AM 31 33 ENTITY
****************************************************************************************************
****************************************************************************************************
medications 13 24 ENTITY
Ranitidine 26 36 ENTITY
ABX 38 41 ENTITY
Folic Acid 43 53 ENTITY
Thiamine 55 63 ENTITY
****************************************************************************************************
Multi-vitamin 3 16 ENTITY
lasix 18 23 ENTITY
Colace (Held) 25 38 ENTITY
KCl 40 43 ENTITY
repletion 51 60 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Amylase 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Triglyceride 3 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 24 26 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Diet 43 47 ENTITY
Ground solids 49 62 ENTITY
****************************************************************************************************
liquids 3 10 ENTITY
Ensure Pudding 12 26 ENTITY
Carnation Instant 31 48 ENTITY
Breakfast 49 58 ENTITY
meals 64 69 ENTITY
****************************************************************************************************
calorie counts 3 17 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
soft 7 11 ENTITY
bowel sounds 17 29 ENTITY
green liquid stool 31 49 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
Estimation 3 13 ENTITY
current 17 24 ENTITY
intake 25 31 ENTITY
Inadequate 33 43 ENTITY
****************************************************************************************************
Specifics 3 12 ENTITY
****************************************************************************************************
Patient 3 10 ENTITY
MVR 15 18 ENTITY
AVR 21 24 ENTITY
SLP 69 72 ENTITY
****************************************************************************************************
recommended 3 14 ENTITY
consistency diet 29 45 ENTITY
supervision 55 66 ENTITY
Name8 72 77 ENTITY
****************************************************************************************************
RN 3 5 ENTITY
patient 7 14 ENTITY
Ensure pudding 20 34 ENTITY
Carnation Instant 44 61 ENTITY
****************************************************************************************************
shake 3 8 ENTITY
AM 14 16 ENTITY
encouragement 31 44 ENTITY
Patient 47 54 ENTITY
****************************************************************************************************
bites 3 8 ENTITY
picky eater 18 29 ENTITY
RN 32 34 ENTITY
reports wife 35 47 ENTITY
****************************************************************************************************
foods 3 8 ENTITY
patient 14 21 ENTITY
Calorie counts 30 44 ENTITY
Concerned 62 71 ENTITY
****************************************************************************************************
nutrition status 8 24 ENTITY
poor 31 35 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
tube feed 25 34 ENTITY
recent surgery 54 68 ENTITY
****************************************************************************************************
supplemental tube 28 45 ENTITY
nutrition
 63 73 ENTITY
****************************************************************************************************
post-op 7 14 ENTITY
recovery 15 23 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
diet 18 22 ENTITY
nutrition support 25 42 ENTITY
****************************************************************************************************
Encourage/assist with 3 24 ENTITY
****************************************************************************************************
Encourage wife 13 27 ENTITY
food preference list 40 60 ENTITY
food
 64 69 ENTITY
****************************************************************************************************
Calorie counts 13 27 ENTITY
****************************************************************************************************
record 8 14 ENTITY
kitchen 18 25 ENTITY
receipt 26 33 ENTITY
****************************************************************************************************
eaten 3 8 ENTITY
****************************************************************************************************
Oral supplements 10 26 ENTITY
****************************************************************************************************
Multivitamin 10 22 ENTITY
Mineral supplement 25 43 ENTITY
****************************************************************************************************
Tube 10 14 ENTITY
feeding 15 22 ENTITY
recommendations 23 38 ENTITY
****************************************************************************************************
NGT 30 33 ENTITY
beginning tube 38 52 ENTITY
feeds 53 58 ENTITY
****************************************************************************************************
poor 3 7 ENTITY
****************************************************************************************************
feed goal 18 27 ENTITY
Nutren Pulmonary @ 45ml/hr 38 64 ENTITY
****************************************************************************************************
calories 3 11 ENTITY
protein 20 27 ENTITY
****************************************************************************************************
Check chemistry 10 25 ENTITY
daily 35 40 ENTITY
****************************************************************************************************
page 16 20 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
extubated 8 17 ENTITY
****************************************************************************************************
Objective 3 12 ENTITY
****************************************************************************************************
Height 3 9 ENTITY
****************************************************************************************************
Admit weight 3 15 ENTITY
****************************************************************************************************
Daily weight 3 15 ENTITY
****************************************************************************************************
Weight change 3 16 ENTITY
****************************************************************************************************
BMI 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
AM 34 36 ENTITY
****************************************************************************************************
****************************************************************************************************
medications 13 24 ENTITY
Multivitamins 26 39 ENTITY
****************************************************************************************************
Labs 3 7 ENTITY
****************************************************************************************************
Value 3 8 ENTITY
****************************************************************************************************
****************************************************************************************************
Glucose 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Glucose Finger 3 17 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
BUN 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Creatinine 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Sodium 3 9 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Potassium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Chloride 3 11 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
TCO2 3 7 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
arterial 8 16 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PO2 3 6 ENTITY
venous 8 14 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
arterial 9 17 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
PCO2 3 7 ENTITY
venous 9 15 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
arterial 7 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
venous 7 13 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
pH 3 5 ENTITY
urine 7 12 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
CO2 3 6 ENTITY
Calc 8 12 ENTITY
venous 14 20 ENTITY
****************************************************************************************************
****************************************************************************************************
PM 25 27 ENTITY
****************************************************************************************************
Albumin 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Calcium 3 10 ENTITY
non-ionized 11 22 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Phosphorus 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Ionized Calcium 3 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Magnesium 3 12 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
ALT 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Alkaline Phosphate 3 21 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
AST 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Amylase 3 10 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Total 3 8 ENTITY
Bilirubin 9 18 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Triglyceride 3 15 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
WBC 3 6 ENTITY
****************************************************************************************************
K/uL
 8 13 ENTITY
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hgb 3 6 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Hematocrit 3 13 ENTITY
****************************************************************************************************
****************************************************************************************************
AM 25 27 ENTITY
****************************************************************************************************
Current diet 3 15 ENTITY
nutrition support 24 41 ENTITY
Nutren Pulmonary Full strength 43 73 ENTITY
****************************************************************************************************
rate 12 16 ENTITY
Advance rate 28 40 ENTITY
Goal rate 54 63 ENTITY
****************************************************************************************************
Residual Check 3 17 ENTITY
feeding 28 35 ENTITY
residual 40 48 ENTITY
****************************************************************************************************
Flush 3 8 ENTITY
water q4h 18 27 ENTITY
****************************************************************************************************
GI 3 5 ENTITY
soft 7 11 ENTITY
flesiseal 13 22 ENTITY
****************************************************************************************************
SKIN 3 7 ENTITY
stage 2 wounds 9 23 ENTITY
****************************************************************************************************
Assessment 3 13 ENTITY
Nutritional Status 17 35 ENTITY
****************************************************************************************************
year 6 10 ENTITY
male 15 19 ENTITY
admitted 20 28 ENTITY
[**1 32 36 ENTITY
endocarditis 48 60 ENTITY
MVR 65 68 ENTITY
aortic 73 79 ENTITY
****************************************************************************************************
valve debridement 3 20 ENTITY
[**1 24 28 ENTITY
patient 36 43 ENTITY
extubated 44 53 ENTITY
morning 59 66 ENTITY
Patient 69 76 ENTITY
****************************************************************************************************
CCU 25 28 ENTITY
patient 30 37 ENTITY
minimal 43 50 ENTITY
nutrition 51 60 ENTITY
****************************************************************************************************
hospital admission 3 21 ENTITY
po food 42 49 ENTITY
nutrition
 54 64 ENTITY
****************************************************************************************************
supplements 3 14 ENTITY
ccu 22 25 ENTITY
day 38 41 ENTITY
tube feed 45 54 ENTITY
OR 64 66 ENTITY
****************************************************************************************************
Patient 3 10 ENTITY
malnutrition 33 45 ENTITY
****************************************************************************************************
feeding tube 3 15 ENTITY
restart tube feed 17 34 ENTITY
temporary 38 47 ENTITY
nutrition support 48 65 ENTITY
post 70 74 ENTITY
****************************************************************************************************
recovery 6 14 ENTITY
****************************************************************************************************
Medical Nutrition Therapy 3 28 ENTITY
Plan 29 33 ENTITY
Recommend 36 45 ENTITY
****************************************************************************************************
Adv diet 10 18 ENTITY
****************************************************************************************************
Continue tube feed 10 28 ENTITY
supplemental nutrition support 32 62 ENTITY
goal 64 68 ENTITY
****************************************************************************************************
Nutren Pulmonary goal 3 24 ENTITY
****************************************************************************************************
Phos binder 11 22 ENTITY
serum phos 26 36 ENTITY
elevated 45 53 ENTITY
****************************************************************************************************
Check chemistry 10 25 ENTITY
daily 35 40 ENTITY
****************************************************************************************************
BS 10 12 ENTITY
management 13 23 ENTITY
****************************************************************************************************
****************************************************************************************************
****************************************************************************************************
In [44]:
# Entity Visualizer
from spacy import displacy
for i in range(len(doc)):
  displacy.render(doc[i], style="ent", jupyter=True)
  print("************************************************************************************************************************************************")
SUBJECT_ID ENTITY , CATEGORY ENTITY ,TEXT
************************************************************************************************************************************************
17610,Nutrition,"Patient transferred to MICU ENTITY for concern for aspiration ENTITY . Diet ENTITY changed
************************************************************************************************************************************************
to NPO ENTITY ; NGT ENTITY in for medication ENTITY . Noted ENTITY plan to transition ENTITY to comfort ENTITY
************************************************************************************************************************************************
focused care ENTITY .
************************************************************************************************************************************************
Will sign ENTITY off at this time ENTITY . Please consult ENTITY if needed. Pager *[**Numeric Identifier 5307**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40493,Nutrition,"Objective
************************************************************************************************************************************************
Pertinent medications ENTITY : RISS ENTITY , SS ENTITY lytes ENTITY , thiamin ENTITY , folate ENTITY , lasix ENTITY , bowel ENTITY
************************************************************************************************************************************************
regimen ENTITY , MOM ENTITY , reglan ENTITY , others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
93 mg/dL
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
120
************************************************************************************************************************************************
[**2172-11-9**] 08:57 AM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
15 mg/dL
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
0.6 mg/dL
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
137 mEq/L
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.9 mEq/L
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
106 mEq/L
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
24 mEq/L
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
66 mm Hg
************************************************************************************************************************************************
[**2172-11-9**] 08:57 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
41 mm Hg
************************************************************************************************************************************************
[**2172-11-9**] 08:57 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.42 units
************************************************************************************************************************************************
[**2172-11-9**] 08:57 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.0 units
************************************************************************************************************************************************
[**2172-11-1**] 06:06 PM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
28 mEq/L
************************************************************************************************************************************************
[**2172-11-9**] 08:57 AM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
2.6 g/dL
************************************************************************************************************************************************
[**2172-11-3**] 02:24 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
8.7 mg/dL
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
4.5 mg/dL
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.11 mmol/L
************************************************************************************************************************************************
[**2172-11-5**] 01:34 PM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.2 mg/dL
************************************************************************************************************************************************
[**2172-11-9**] 01:50 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Fibersource ENTITY HN@60mL/hr ENTITY (1728
************************************************************************************************************************************************
kcals/73 gr aa) not infusing ENTITY
************************************************************************************************************************************************
GI ENTITY : Abd soft/+bs ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
Specifics ENTITY :
************************************************************************************************************************************************
Pt ENTITY extubated ENTITY earlier today. Pt ENTITY was previously tolerating TF ENTITY
************************************************************************************************************************************************
s @ goal ENTITY ,
************************************************************************************************************************************************
meeting 100% estimated nutrition ENTITY needs. Anticipate diet advancement ENTITY as
************************************************************************************************************************************************
able.
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Advance diet ENTITY per team ENTITY c/ swallow ENTITY eval ENTITY if pt shows s/s ENTITY of aspiration ENTITY and
************************************************************************************************************************************************
advance diet ENTITY per SLP- ENTITY vs place NGT ENTITY and resume TF's ENTITY if unable to take
************************************************************************************************************************************************
po
************************************************************************************************************************************************
Will follow plan ENTITY -please page ENTITY c/ ?'s #[**Numeric Identifier 1684**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40493,Nutrition,"Subjective
************************************************************************************************************************************************
intubated ENTITY
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
168 cm
************************************************************************************************************************************************
65 kg
************************************************************************************************************************************************
23.1
************************************************************************************************************************************************
Ideal body weight ENTITY
************************************************************************************************************************************************
% Ideal body weight ENTITY
************************************************************************************************************************************************
Adjusted ENTITY weight
************************************************************************************************************************************************
Usual body weight ENTITY
************************************************************************************************************************************************
% Usual body weight ENTITY
************************************************************************************************************************************************
64.4 kg
************************************************************************************************************************************************
101%
************************************************************************************************************************************************
Diagnosis ENTITY : S/P Fall ENTITY
************************************************************************************************************************************************
PMH ENTITY : etoh ENTITY , smoker ENTITY , cirrhosis ENTITY
************************************************************************************************************************************************
Food allergies ENTITY and intolerances ENTITY : NKFA ENTITY
************************************************************************************************************************************************
Pertinent medications ENTITY : fentanyl ENTITY , LR ENTITY @ 10 ml/hr, lasix ENTITY , versed, RISS ENTITY , IV ENTITY
************************************************************************************************************************************************
abx, others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
155 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
151
************************************************************************************************************************************************
[**2172-11-2**] 08:00 AM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
17 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
0.8 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
146 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.6 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
111 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
29 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
113 mm Hg
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
41 mm Hg
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.46 units
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.0 units
************************************************************************************************************************************************
[**2172-11-1**] 06:06 PM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
30 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
3.0 g/dL
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
8.1 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
2.5 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.16 mmol/L
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
1.7 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
14 IU/L
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
73 IU/L
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
43 IU/L
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
3.4 mg/dL
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
23.2 K/uL ENTITY
************************************************************************************************************************************************
[**2172-11-2**] 01:06 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
9.1 g/dL
************************************************************************************************************************************************
[**2172-11-2**] 01:06 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
27.2 %
************************************************************************************************************************************************
[**2172-11-2**] 01:06 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : NPO ENTITY replete ENTITY with fiber ENTITY @ 60
************************************************************************************************************************************************
ml/hr
************************************************************************************************************************************************
GI ENTITY : OGT ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
At risk ENTITY for malnutrition ENTITY
************************************************************************************************************************************************
Pt ENTITY at risk ENTITY due to: NPO ENTITY / hypocaloric diet ENTITY
************************************************************************************************************************************************
Estimated Nutritional Needs ENTITY
************************************************************************************************************************************************
Calories ENTITY : 1625-[**2114**] (25-30 cal/kg)
************************************************************************************************************************************************
Protein ENTITY : 78-91 (1.2-1.4 g/kg)
************************************************************************************************************************************************
Fluid ENTITY : per team
************************************************************************************************************************************************
Estimation ENTITY of previous intake ENTITY : Likely Adequate ENTITY
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Specifics ENTITY : 57 year ENTITY old male ENTITY transferred from OSH ENTITY , intubated ENTITY there. Pt ENTITY
************************************************************************************************************************************************
S/P ENTITY fall CT ENTITY shows Stage IV splenic laceration ENTITY . Tolerating TF ENTITY with
************************************************************************************************************************************************
minimal residuals ENTITY [** Name8 ENTITY (MD) **] RN ENTITY . Current TF ENTITY provides 1440 kcals/89 g Pro ENTITY .
************************************************************************************************************************************************
Recommend ENTITY changing TF ENTITY to better meet nutritional ENTITY needs.
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
1. Check chemistry ENTITY 10 panel daily ENTITY
************************************************************************************************************************************************
2. Change ENTITY TF ENTITY to goal ENTITY of Fibersource ENTITY HN ENTITY @ 65ml/hr (1872 kcals/83 g
************************************************************************************************************************************************
Pro ENTITY )
************************************************************************************************************************************************
3. Pls page ENTITY with questions [**Numeric Identifier 2584**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40493,Nutrition,"Subjective
************************************************************************************************************************************************
intubated ENTITY
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
168 cm
************************************************************************************************************************************************
65 kg
************************************************************************************************************************************************
23.1
************************************************************************************************************************************************
Ideal body weight ENTITY
************************************************************************************************************************************************
% Ideal body weight ENTITY
************************************************************************************************************************************************
Adjusted ENTITY weight
************************************************************************************************************************************************
Usual body weight ENTITY
************************************************************************************************************************************************
% Usual body weight ENTITY
************************************************************************************************************************************************
64.4 kg
************************************************************************************************************************************************
101%
************************************************************************************************************************************************
Diagnosis ENTITY : S/P Fall ENTITY
************************************************************************************************************************************************
PMH ENTITY : etoh ENTITY , smoker ENTITY , cirrhosis ENTITY
************************************************************************************************************************************************
Food allergies ENTITY and intolerances ENTITY : NKFA ENTITY
************************************************************************************************************************************************
Pertinent medications ENTITY : fentanyl ENTITY , LR ENTITY @ 10 ml/hr, lasix ENTITY , versed, RISS ENTITY , IV ENTITY
************************************************************************************************************************************************
abx, others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
155 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
151
************************************************************************************************************************************************
[**2172-11-2**] 08:00 AM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
17 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
0.8 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
146 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.6 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
111 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
29 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
113 mm Hg
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
41 mm Hg
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.46 units
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.0 units
************************************************************************************************************************************************
[**2172-11-1**] 06:06 PM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
30 mEq/L
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
3.0 g/dL
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
8.1 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
2.5 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.16 mmol/L
************************************************************************************************************************************************
[**2172-11-2**] 11:55 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
1.7 mg/dL
************************************************************************************************************************************************
[**2172-11-2**] 12:18 PM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
14 IU/L
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
73 IU/L
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
43 IU/L
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
3.4 mg/dL
************************************************************************************************************************************************
[**2172-10-31**] 02:55 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
23.2 K/uL ENTITY
************************************************************************************************************************************************
[**2172-11-2**] 01:06 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
9.1 g/dL
************************************************************************************************************************************************
[**2172-11-2**] 01:06 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
27.2 %
************************************************************************************************************************************************
[**2172-11-2**] 01:06 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : NPO ENTITY replete ENTITY with fiber ENTITY @ 60
************************************************************************************************************************************************
ml/hr
************************************************************************************************************************************************
GI ENTITY : OGT ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
At risk ENTITY for malnutrition ENTITY
************************************************************************************************************************************************
Pt ENTITY at risk ENTITY due to: NPO ENTITY / hypocaloric diet ENTITY
************************************************************************************************************************************************
Estimated Nutritional Needs ENTITY
************************************************************************************************************************************************
Calories ENTITY : 1625-[**2114**] (25-30 cal/kg)
************************************************************************************************************************************************
Protein ENTITY : 78-91 (1.2-1.4 g/kg)
************************************************************************************************************************************************
Fluid ENTITY : per team
************************************************************************************************************************************************
Estimation ENTITY of previous intake ENTITY : Likely Adequate ENTITY
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Specifics ENTITY : 57 year ENTITY old male ENTITY transferred from OSH ENTITY , intubated ENTITY there. Pt ENTITY
************************************************************************************************************************************************
S/P ENTITY fall CT ENTITY shows Stage IV splenic laceration ENTITY . Tolerating TF ENTITY with
************************************************************************************************************************************************
minimal residuals ENTITY [** Name8 ENTITY (MD) **] RN ENTITY . Current TF ENTITY provides 1440 kcals/89 g Pro ENTITY .
************************************************************************************************************************************************
Recommend ENTITY changing TF ENTITY to better meet nutritional ENTITY needs.
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
1. Check chemistry ENTITY 10 panel daily ENTITY
************************************************************************************************************************************************
2. Change ENTITY TF ENTITY to goal ENTITY of Fibersource ENTITY HN ENTITY @ 65ml/hr (1872 kcals/83 g
************************************************************************************************************************************************
Pro ENTITY )
************************************************************************************************************************************************
3. Pls page ENTITY with questions [**Numeric Identifier 2584**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
61565,Nutrition,"Objective
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
178 cm
************************************************************************************************************************************************
88.2 kg
************************************************************************************************************************************************
27.8
************************************************************************************************************************************************
Ideal body weight ENTITY
************************************************************************************************************************************************
% Ideal body weight ENTITY
************************************************************************************************************************************************
Adjusted ENTITY weight
************************************************************************************************************************************************
Usual body weight ENTITY
************************************************************************************************************************************************
% Usual body weight ENTITY
************************************************************************************************************************************************
75.3 kg
************************************************************************************************************************************************
117%
************************************************************************************************************************************************
Diagnosis ENTITY : Head Bleed ENTITY
************************************************************************************************************************************************
PMH ENTITY : DM ENTITY .
************************************************************************************************************************************************
Food allergies ENTITY and intolerances ENTITY :
************************************************************************************************************************************************
Pertinent medications ENTITY : Esmolol ENTITY , famotidine ENTITY , colace ENTITY , lytes ENTITY ss, dilantin ENTITY ,
************************************************************************************************************************************************
ssri ENTITY , others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
143 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
155
************************************************************************************************************************************************
[**2100-11-1**] 02:00 AM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
18 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
0.8 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
142 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
4.1 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
111 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
26 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
109 mm Hg
************************************************************************************************************************************************
[**2100-11-1**] 04:35 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
38 mm Hg
************************************************************************************************************************************************
[**2100-11-1**] 04:35 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.48 units
************************************************************************************************************************************************
[**2100-11-1**] 04:35 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
29 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 04:35 AM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
3.8 g/dL
************************************************************************************************************************************************
[**2100-10-30**] 03:27 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
8.9 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
2.5 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.22 mmol/L
************************************************************************************************************************************************
[**2100-10-31**] 02:41 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.3 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Phenytoin ENTITY ( Dilantin ENTITY )
************************************************************************************************************************************************
10.1 ug/mL
************************************************************************************************************************************************
[**2100-10-31**] 02:34 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
12.1 K/uL ENTITY
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
11.9 g/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
33.9 %
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Replete ENTITY with fiber ENTITY Full
************************************************************************************************************************************************
strength; Goal rate ENTITY : 65 ml/hr
************************************************************************************************************************************************
Residual Check ENTITY : q4h Hold feeding ENTITY for residual ENTITY >= : 200 ml
************************************************************************************************************************************************
GI ENTITY :
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
At risk ENTITY for malnutrition ENTITY
************************************************************************************************************************************************
Pt ENTITY at risk ENTITY due to: NPO ENTITY / hypocaloric diet ENTITY
************************************************************************************************************************************************
Estimated Nutritional Needs ENTITY
************************************************************************************************************************************************
Calories ENTITY : [**2027**]-2200 ENTITY ( BEE ENTITY x or / 22-25 cal/kg)
************************************************************************************************************************************************
Protein ENTITY : 114 (1.3 g/kg)
************************************************************************************************************************************************
Fluid ENTITY :
************************************************************************************************************************************************
Estimation ENTITY of previous intake ENTITY : Adequate ENTITY
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Specifics ENTITY :
************************************************************************************************************************************************
72 yo male ENTITY s/p ENTITY witnessed fall w/ head trauma ENTITY , right parietal-occipital ENTITY
************************************************************************************************************************************************
SAH ENTITY w/ left intraparenchymal bleed ENTITY / contre-coup injury ENTITY . Pt ENTITY started on
************************************************************************************************************************************************
TF yesterday, currently tol ENTITY goal TF ENTITY without issue ENTITY , per chart ENTITY , pt with +
************************************************************************************************************************************************
gag ENTITY , will plan to extubate ENTITY this am. If unable to extubate ENTITY , will need
************************************************************************************************************************************************
to change TF ENTITY to better meet pt's needs ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Tube ENTITY feeding ENTITY recommendations ENTITY :
************************************************************************************************************************************************
Check chemistry ENTITY 10 panel daily ENTITY and replete ENTITY
************************************************************************************************************************************************
Cont ENTITY Bg ENTITY management ENTITY
************************************************************************************************************************************************
Pplease page ENTITY [**Numeric Identifier 1550**] if has ?
************************************************************************************************************************************************
"
************************************************************************************************************************************************
61565,Nutrition,"Objective
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
178 cm est.
************************************************************************************************************************************************
88.2 kg
************************************************************************************************************************************************
27.8
************************************************************************************************************************************************
Ideal body weight ENTITY
************************************************************************************************************************************************
% Ideal body weight ENTITY
************************************************************************************************************************************************
Adjusted ENTITY weight
************************************************************************************************************************************************
Usual body weight ENTITY
************************************************************************************************************************************************
% Usual body weight ENTITY
************************************************************************************************************************************************
75.3 kg
************************************************************************************************************************************************
117%
************************************************************************************************************************************************
Diagnosis ENTITY : Head Bleed ENTITY
************************************************************************************************************************************************
PMH ENTITY : DM ENTITY , HTN ENTITY
************************************************************************************************************************************************
Food allergies ENTITY and intolerances ENTITY :
************************************************************************************************************************************************
Pertinent medications ENTITY : Esmolol ENTITY , famotidine ENTITY , colace ENTITY , lytes ENTITY ss, dilantin ENTITY ,
************************************************************************************************************************************************
ssri ENTITY , others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
143 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
155
************************************************************************************************************************************************
[**2100-11-1**] 02:00 AM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
18 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
0.8 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
142 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
4.1 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
111 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
26 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
109 mm Hg
************************************************************************************************************************************************
[**2100-11-1**] 04:35 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
38 mm Hg
************************************************************************************************************************************************
[**2100-11-1**] 04:35 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.48 units
************************************************************************************************************************************************
[**2100-11-1**] 04:35 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
29 mEq/L
************************************************************************************************************************************************
[**2100-11-1**] 04:35 AM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
3.8 g/dL
************************************************************************************************************************************************
[**2100-10-30**] 03:27 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
8.9 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
2.5 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.22 mmol/L
************************************************************************************************************************************************
[**2100-10-31**] 02:41 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.3 mg/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Phenytoin ENTITY ( Dilantin ENTITY )
************************************************************************************************************************************************
10.1 ug/mL
************************************************************************************************************************************************
[**2100-10-31**] 02:34 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
12.1 K/uL ENTITY
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
11.9 g/dL
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
33.9 %
************************************************************************************************************************************************
[**2100-11-1**] 02:37 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Replete ENTITY with fiber ENTITY Full
************************************************************************************************************************************************
strength; Goal rate ENTITY : 65 ml/hr (1560kcal/96.7g pro)
************************************************************************************************************************************************
Residual Check ENTITY : q4h Hold feeding ENTITY for residual ENTITY >= : 200 ml
************************************************************************************************************************************************
GI ENTITY : Soft ENTITY , Non-distended ENTITY , Non-tender ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
At risk ENTITY for malnutrition ENTITY
************************************************************************************************************************************************
Pt ENTITY at risk ENTITY due to: NPO ENTITY
************************************************************************************************************************************************
Estimated Nutritional Needs ENTITY
************************************************************************************************************************************************
Calories ENTITY : 1760-2200 ( BEE ENTITY x or / 20-25 cal/kg)
************************************************************************************************************************************************
Protein ENTITY : 114 (1.3 g/kg)
************************************************************************************************************************************************
Fluid ENTITY : per team
************************************************************************************************************************************************
Estimation ENTITY of previous intake ENTITY : likely adequate ENTITY
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Specifics ENTITY :
************************************************************************************************************************************************
72 yo male ENTITY s/p ENTITY witnessed fall w/ head trauma ENTITY , right parietal-occipital ENTITY
************************************************************************************************************************************************
SAH ENTITY w/ left intraparenchymal bleed ENTITY / contre-coup injury ENTITY . Pt ENTITY started on
************************************************************************************************************************************************
TF yesterday, currently tol ENTITY goal TF ENTITY without issue ENTITY , per chart ENTITY , pt with +
************************************************************************************************************************************************
gag ENTITY , cough ENTITY , [**Last Name ( LF ENTITY ) 1080**], [**First Name3 ENTITY (LF) **] plan ENTITY to extubate ENTITY this am. If unable to
************************************************************************************************************************************************
extubate ENTITY , will need to change TF ENTITY to better meet pt's needs ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Tube ENTITY feeding ENTITY recommendations ENTITY : increase ENTITY TF ENTITY to Replete ENTITY with Fiber ENTITY goal ENTITY
************************************************************************************************************************************************
75ml/hr (1800kcal/112g pro)
************************************************************************************************************************************************
Check chemistry ENTITY 10 panel daily ENTITY and replete prn ENTITY
************************************************************************************************************************************************
Cont ENTITY Bg ENTITY management ENTITY
************************************************************************************************************************************************
Please page ENTITY [**Numeric Identifier 1550**] if has ?
************************************************************************************************************************************************
"
************************************************************************************************************************************************
61565,Nutrition,"Objective
************************************************************************************************************************************************
Pertinent medications ENTITY : pepcid ENTITY , Heparin ENTITY , docusate ENTITY , Abx ENTITY , RISS ENTITY , others
************************************************************************************************************************************************
noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
128 mg/dL
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
140
************************************************************************************************************************************************
[**2100-11-4**] 08:00 PM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
18 mg/dL
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
0.7 mg/dL
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
140 mEq/L
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.9 mEq/L
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
103 mEq/L
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
28 mEq/L
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
94.[**Numeric Identifier 126**] mm Hg
************************************************************************************************************************************************
[**2100-11-5**] 07:26 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
37 mm Hg
************************************************************************************************************************************************
[**2100-11-5**] 07:26 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.49 units
************************************************************************************************************************************************
[**2100-11-5**] 07:26 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
7.0 units
************************************************************************************************************************************************
[**2100-11-5**] 11:05 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
29 mEq/L
************************************************************************************************************************************************
[**2100-11-5**] 07:26 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
8.7 mg/dL
************************************************************************************************************************************************
[**2100-11-4**] 02:31 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
3.0 mg/dL
************************************************************************************************************************************************
[**2100-11-4**] 02:31 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.3 mg/dL
************************************************************************************************************************************************
[**2100-11-4**] 02:31 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
12.2 K/uL ENTITY
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
12.0 g/dL
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
33.8 %
************************************************************************************************************************************************
[**2100-11-5**] 03:32 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Replete ENTITY c/ Fiber @65mL/hr (1560
************************************************************************************************************************************************
kcals/97 gr aa)
************************************************************************************************************************************************
GI ENTITY : Abd: soft/+bs ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Specifics ENTITY :
************************************************************************************************************************************************
Pt s/p ENTITY trach/PEG/and IVC ENTITY filter yesterday. TF
************************************************************************************************************************************************
s currently infusing ENTITY @
************************************************************************************************************************************************
10mL/hr. Current goal ENTITY Rx will meet 88% estimated kcal ENTITY and 85% estimated
************************************************************************************************************************************************
aa needs therefore, will need to increase ENTITY goal rate ENTITY of TF ENTITY
************************************************************************************************************************************************
s to avoid
************************************************************************************************************************************************
underfeeding ENTITY . .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Multivitamin ENTITY / Mineral supplement ENTITY : vua TF ENTITY
************************************************************************************************************************************************
Tube ENTITY feeding ENTITY recommendations ENTITY : Increase ENTITY TF goal rate ENTITY to 75 mL/hr (1800
************************************************************************************************************************************************
kcals/112 gr aa ENTITY )
************************************************************************************************************************************************
BG ENTITY management ENTITY as you are
************************************************************************************************************************************************
Please page ENTITY c/?'s #[**Numeric Identifier 1684**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
98851,Nutrition,"Patient has been NPO ENTITY and/or on unsupplemented clear liquid diet for 1
************************************************************************************************************************************************
days ENTITY . If patient's ENTITY diet ENTITY is not able to be advanced ENTITY and tolerated ENTITY ,
************************************************************************************************************************************************
[**Street Address(1) 1511**] for nutrition support ENTITY
************************************************************************************************************************************************
Potential ENTITY for nutrition risk ENTITY . Patient ENTITY being monitored ENTITY . Current
************************************************************************************************************************************************
intervention ENTITY if any, listed below:
************************************************************************************************************************************************
Comments ENTITY :
************************************************************************************************************************************************
Pt s/p LRRT [**4 ENTITY -17**], c/b hypoxia ENTITY and increased ENTITY O2 ENTITY requirements ENTITY in PACU ENTITY , on
************************************************************************************************************************************************
clears ENTITY , tolerating well. Clinically improving ENTITY , possibly transfer to
************************************************************************************************************************************************
floor ENTITY soon.
************************************************************************************************************************************************
If unable to advance diet ENTITY further in 24-48hrs, patient ENTITY may benefit from
************************************************************************************************************************************************
nutrition support ENTITY .
************************************************************************************************************************************************
Will f/u with progress ENTITY , po tolerance ENTITY .
************************************************************************************************************************************************
Please page w/ questions ENTITY #[**Numeric Identifier 1687**]
************************************************************************************************************************************************
12:11
************************************************************************************************************************************************
"
************************************************************************************************************************************************
58054,Nutrition,"Comments:
************************************************************************************************************************************************
Screening ENTITY per hospital nutrition protocol. Noted ENTITY patient ENTITY is comfort ENTITY
************************************************************************************************************************************************
measures ENTITY only. No nutrition support indicated at this time ENTITY . Will sign
************************************************************************************************************************************************
off. Please consult ENTITY if needed. #[**Numeric Identifier 2337**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
99573,Nutrition,"Subjective
************************************************************************************************************************************************
patient ENTITY confused, unable to answer questions per chart patient ENTITY had
************************************************************************************************************************************************
difficulty ENTITY swallowing ENTITY PTA d/t damaged ENTITY salivary glands ENTITY from XRT ENTITY
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
168 cm
************************************************************************************************************************************************
98.2 kg
************************************************************************************************************************************************
34.9
************************************************************************************************************************************************
Ideal body weight ENTITY
************************************************************************************************************************************************
% Ideal body weight ENTITY
************************************************************************************************************************************************
Adjusted ENTITY weight
************************************************************************************************************************************************
Usual body weight ENTITY
************************************************************************************************************************************************
% Usual body weight ENTITY
************************************************************************************************************************************************
59 kg
************************************************************************************************************************************************
166%
************************************************************************************************************************************************
68.8 kg
************************************************************************************************************************************************
Diagnosis ENTITY : facial fx ENTITY
************************************************************************************************************************************************
PMH ENTITY : breast ca ENTITY , tongue ca ENTITY , ovarian ca ENTITY , polymyalgia ENTITY , NIDDM ENTITY , vertigo ENTITY , hx
************************************************************************************************************************************************
of falls ENTITY
************************************************************************************************************************************************
Food allergies ENTITY and intolerances ENTITY : none noted
************************************************************************************************************************************************
Pertinent medications ENTITY : RISS ENTITY , IV abx, protonix ENTITY , KCl ENTITY (30 mEq), Dextrose ENTITY
************************************************************************************************************************************************
5% 1/2 normal saline ENTITY with KCl ENTITY , others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
206
************************************************************************************************************************************************
[**2181-6-5**] 08:00 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
222
************************************************************************************************************************************************
[**2181-6-4**] 08:00 PM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
11 mg/dL
************************************************************************************************************************************************
[**2181-6-4**] 11:36 PM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
0.5 mg/dL
************************************************************************************************************************************************
[**2181-6-4**] 11:36 PM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
134 mEq/L
************************************************************************************************************************************************
[**2181-6-4**] 11:36 PM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
4.1 mEq/L
************************************************************************************************************************************************
[**2181-6-5**] 09:13 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
98 mEq/L
************************************************************************************************************************************************
[**2181-6-4**] 11:36 PM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
26 mEq/L
************************************************************************************************************************************************
[**2181-6-4**] 11:36 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
6.5 units
************************************************************************************************************************************************
[**2181-6-3**] 12:30 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
8.5 mg/dL
************************************************************************************************************************************************
[**2181-6-4**] 11:36 PM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
2.3 mg/dL
************************************************************************************************************************************************
[**2181-6-4**] 11:36 PM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.0 mg/dL
************************************************************************************************************************************************
[**2181-6-4**] 11:36 PM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
9.2 K/uL ENTITY
************************************************************************************************************************************************
[**2181-6-5**] 12:03 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
10.9 g/dL
************************************************************************************************************************************************
[**2181-6-5**] 12:03 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
32.7 %
************************************************************************************************************************************************
[**2181-6-5**] 12:03 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : NPO ENTITY
************************************************************************************************************************************************
GI ENTITY : obese ENTITY , + bowel sounds ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
Obese ENTITY , At risk ENTITY for malnutrition ENTITY
************************************************************************************************************************************************
Pt ENTITY at risk ENTITY due to: NPO ENTITY / hypocaloric diet ENTITY , trauma ENTITY
************************************************************************************************************************************************
Estimated Nutritional Needs ENTITY based on adjusted body ENTITY wt
************************************************************************************************************************************************
Calories ENTITY : 1513-1720 (22-25 cal/kg)
************************************************************************************************************************************************
Protein ENTITY : 83-103 (1.2-1.5 g/kg)
************************************************************************************************************************************************
Fluid ENTITY : per team
************************************************************************************************************************************************
Estimation ENTITY of previous intake ENTITY : unknown
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY d/t NPO ENTITY status ENTITY
************************************************************************************************************************************************
Specifics ENTITY : 78 year ENTITY old female ENTITY admitted ENTITY from outside hospital S/P ENTITY fall
************************************************************************************************************************************************
at home ENTITY with multiple injuries ENTITY including Le Forte fx ENTITY , multiple ENTITY sinus ENTITY
************************************************************************************************************************************************
fx ENTITY , orbital fx ENTITY , facial ENTITY and tongue swelling ENTITY . Patient ENTITY seen by SLP ENTITY on [**6-4** ENTITY ]
************************************************************************************************************************************************
who recommended patient ENTITY remain NPO ENTITY . If patient ENTITY
************************************************************************************************************************************************
s diet ENTITY cannot be
************************************************************************************************************************************************
advanced ENTITY consider initiating ENTITY tube feedings ENTITY to prevent further
************************************************************************************************************************************************
nutritional decline ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
If diet ENTITY cannot be advanced recommend starting tube feedings ENTITY start with
************************************************************************************************************************************************
Replete ENTITY with Fiber ENTITY @ 15 ml/hr advance to goal ENTITY of 65 ml/hr =1560
************************************************************************************************************************************************
kcals/97 g protein ENTITY
************************************************************************************************************************************************
Check residuals ENTITY q 4-6 hours hold if greater than 150 cc
************************************************************************************************************************************************
Monitor lytes ENTITY and glucose ENTITY with initiation ENTITY of tube feeding ENTITY
************************************************************************************************************************************************
Change to non-dextrose IV fluids ENTITY once tube feedings ENTITY started
************************************************************************************************************************************************
Implement ENTITY any SLP ENTITY recs
************************************************************************************************************************************************
Will continue to follow page [**Numeric Identifier 1372**] with questions ENTITY
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40461,Nutrition,"Subjective
************************************************************************************************************************************************
oriented ENTITY x1
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
178 cm
************************************************************************************************************************************************
63 kg
************************************************************************************************************************************************
74.9 kg ([**2113-2-3**] 04:00 AM ENTITY )
************************************************************************************************************************************************
19.9
************************************************************************************************************************************************
Pertinent medications ENTITY : Ranitidine ENTITY , Multi-vitamin ENTITY , ABX ENTITY , Folic Acid ENTITY ,
************************************************************************************************************************************************
Thiamine ENTITY , Coumadin ENTITY , Lasix ENTITY , Colace ENTITY (held), KCl ENTITY (20mEq repletion ENTITY x2),
************************************************************************************************************************************************
Magnesium sulfate ENTITY (2g repletion ENTITY ), Heparin drip ENTITY
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
105 mg/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
127
************************************************************************************************************************************************
[**2113-2-3**] 12:00 PM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
25 mg/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
1.8 mg/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
142 mEq/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.9 mEq/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
110 mEq/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
25 mEq/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
65 mm Hg
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
48 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
30 mm Hg
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
33 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.46 units
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( venous ENTITY )
************************************************************************************************************************************************
7.43 units
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.5 units
************************************************************************************************************************************************
[**2113-2-1**] 07:16 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) venous ENTITY
************************************************************************************************************************************************
23 mEq/L
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
2.1 g/dL
************************************************************************************************************************************************
[**2113-2-1**] 02:44 PM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
7.5 mg/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
3.0 mg/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.08 mmol/L
************************************************************************************************************************************************
[**2113-1-30**] 11:46 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.3 mg/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
23 IU/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
51 IU/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
24 IU/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Amylase ENTITY
************************************************************************************************************************************************
40 IU/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
0.3 mg/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Triglyceride ENTITY
************************************************************************************************************************************************
120 mg/dL
************************************************************************************************************************************************
[**2113-1-25**] 03:36 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
9.3 K/uL ENTITY
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
8.9 g/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
27.0 %
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Diet ENTITY : NPO ENTITY
************************************************************************************************************************************************
Calorie counts ENTITY : [**2-1**] - 17 - 18
************************************************************************************************************************************************
GI ENTITY : soft ENTITY , (+) bowel sounds ENTITY ; 500ml stool ENTITY today
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Specifics ENTITY :
************************************************************************************************************************************************
49 year ENTITY old male ENTITY with mitral valve endocarditis ENTITY , preop stroke ENTITY s/p MVR ENTITY
************************************************************************************************************************************************
(29mm [**First Name8 ENTITY (NamePattern2) **] [**First Name4 ( NamePattern1 ENTITY ) 1104**] [**Last Name ( NamePattern1 ENTITY ) 1105**]) debridement ENTITY of aortic valve [**1 ENTITY -27**]. Patient ENTITY with
************************************************************************************************************************************************
prolonged ENTITY poor ENTITY po
************************************************************************************************************************************************
s during admit. Was on ground solids ENTITY + thin liquid ENTITY
************************************************************************************************************************************************
diet ENTITY , refusing po
************************************************************************************************************************************************
s at times. s/p calories counts
************************************************************************************************************************************************
880 calories [**2-1**]
************************************************************************************************************************************************
and 270 calories ENTITY [**2-2**]. Seen for video swallow ENTITY evaluation ENTITY this AM ENTITY
************************************************************************************************************************************************
SLP ENTITY recommend NPO ENTITY . Per discussion with PA ENTITY
************************************************************************************************************************************************
plan for PEG placement ENTITY as
************************************************************************************************************************************************
previously unable to place NGT ENTITY and feel that patient ENTITY will pull it out.
************************************************************************************************************************************************
Agree with PEG ENTITY for long term ENTITY nutrition support to prevent further
************************************************************************************************************************************************
nutritional decline ENTITY and optimize ENTITY nutrition ENTITY for post-op healing ENTITY . Noted ENTITY
************************************************************************************************************************************************
multiple ENTITY lyte ENTITY repletions ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Current diet ENTITY / nutrition support ENTITY is appropriate: continue
************************************************************************************************************************************************
NPO ENTITY per SLP ENTITY recommendations ENTITY
************************************************************************************************************************************************
o SLP ENTITY follow up ENTITY when appropriate
************************************************************************************************************************************************
Tube ENTITY feeding ENTITY recommendations ENTITY : Agree with PEG ENTITY
************************************************************************************************************************************************
o Once feeding tube ENTITY placed, recommend begin Isosource ENTITY 1.5 @
************************************************************************************************************************************************
20ml/hr, advance as tolerated ENTITY to goal ENTITY of 45ml/hr = 1620 calories ENTITY and
************************************************************************************************************************************************
73g protein ENTITY
************************************************************************************************************************************************
Check residuals, hold tube feed ENTITY if greater than 200ml
************************************************************************************************************************************************
Multivitamin ENTITY / Mineral supplement ENTITY : continue current
************************************************************************************************************************************************
Check chemistry ENTITY 10 panel daily ENTITY
************************************************************************************************************************************************
o Replete ENTITY lytes ENTITY PRN ENTITY
************************************************************************************************************************************************
Will follow, page ENTITY if questions *[**Numeric Identifier 606**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40461,Nutrition,"Subjective
************************************************************************************************************************************************
Patient oob ENTITY , tube feed running ENTITY at 40 ml/hr.
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Pertinent medications ENTITY : noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
119
************************************************************************************************************************************************
[**2113-2-8**] 08:00 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
150
************************************************************************************************************************************************
[**2113-2-7**] 10:00 PM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
31 mg/dL
************************************************************************************************************************************************
[**2113-2-8**] 02:50 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
2.0 mg/dL
************************************************************************************************************************************************
[**2113-2-8**] 02:50 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
143 mEq/L
************************************************************************************************************************************************
[**2113-2-8**] 02:50 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.4 mEq/L
************************************************************************************************************************************************
[**2113-2-8**] 07:52 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
109 mEq/L
************************************************************************************************************************************************
[**2113-2-8**] 02:50 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
25 mEq/L
************************************************************************************************************************************************
[**2113-2-8**] 02:50 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
65 mm Hg
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
48 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
30 mm Hg
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
33 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.46 units
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( venous ENTITY )
************************************************************************************************************************************************
7.43 units
************************************************************************************************************************************************
[**2113-2-7**] 05:19 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.5 units
************************************************************************************************************************************************
[**2113-2-1**] 07:16 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) venous ENTITY
************************************************************************************************************************************************
23 mEq/L
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
2.2 g/dL
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
7.8 mg/dL
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
4.0 mg/dL
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.07 mmol/L
************************************************************************************************************************************************
[**2113-2-7**] 05:19 PM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.1 mg/dL
************************************************************************************************************************************************
[**2113-2-8**] 07:52 AM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
21 IU/L
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
50 IU/L
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
23 IU/L
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Amylase ENTITY
************************************************************************************************************************************************
45 IU/L
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
0.4 mg/dL
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Triglyceride ENTITY
************************************************************************************************************************************************
120 mg/dL
************************************************************************************************************************************************
[**2113-1-25**] 03:36 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
10.1 K/uL ENTITY
************************************************************************************************************************************************
[**2113-2-8**] 02:50 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
8.3 g/dL
************************************************************************************************************************************************
[**2113-2-8**] 02:50 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
26.1 %
************************************************************************************************************************************************
[**2113-2-8**] 02:50 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Replete ENTITY with fiber ENTITY Full
************************************************************************************************************************************************
strength ENTITY ;
************************************************************************************************************************************************
Starting rate ENTITY : 40 ml/hr; Advance rate ENTITY by 20 ml q6h Goal rate ENTITY : 70 ml/hr
************************************************************************************************************************************************
Residual Check ENTITY : q4h Hold feeding ENTITY for residual ENTITY >= : 200 ml
************************************************************************************************************************************************
Flush ENTITY w/ 30 ml water ENTITY q8h
************************************************************************************************************************************************
GI ENTITY : Abdominal ENTITY : Soft ENTITY , Non-distended, Non-tender ENTITY , Bowel sounds ENTITY present,
************************************************************************************************************************************************
PEG site ENTITY clean ENTITY and dry ENTITY .
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
49 year ENTITY old male ENTITY s/p PEG placement yesterday ENTITY , tube feed ENTITY started
************************************************************************************************************************************************
yesterday ENTITY , tolerated ENTITY Isosource ENTITY 1.5 well, tube feed ordered ENTITY changed ENTITY to
************************************************************************************************************************************************
Replete ENTITY with fiber ENTITY this morning ENTITY , spoke ENTITY to team, does not want patient ENTITY
************************************************************************************************************************************************
on special tube feed ENTITY , recommend change to Fibersource ENTITY HN ENTITY as current
************************************************************************************************************************************************
formula ENTITY provides excess ENTITY amount ENTITY of protein ENTITY . Noted discharge ENTITY planning in
************************************************************************************************************************************************
progress ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Tube ENTITY feeding ENTITY : Fibersource ENTITY HN ENTITY goal ENTITY 60ml/hr ( 1728kcal/76g
************************************************************************************************************************************************
protein)
************************************************************************************************************************************************
Check chemistry ENTITY 10 panel daily ENTITY , replete prn
************************************************************************************************************************************************
Continue BS ENTITY management ENTITY
************************************************************************************************************************************************
[**Numeric Identifier 943**] if has question
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40461,Nutrition,"Subjective
************************************************************************************************************************************************
Patient asleep ENTITY .
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
178 cm
************************************************************************************************************************************************
63 kg
************************************************************************************************************************************************
70.8 kg ([**2113-2-7**] 04:00 AM ENTITY )
************************************************************************************************************************************************
19.9
************************************************************************************************************************************************
Pertinent medications ENTITY : Multiple ENTITY Vitamins ENTITY , Furosemide ENTITY , Docusate Sodium ENTITY ,
************************************************************************************************************************************************
others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
157 mg/dL
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
158
************************************************************************************************************************************************
[**2113-2-7**] 06:00 AM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
33 mg/dL
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
1.9 mg/dL
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
145 mEq/L
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.7 mEq/L
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
111 mEq/L
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
24 mEq/L
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
65 mm Hg
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
48 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
30 mm Hg
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
33 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.46 units
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( venous ENTITY )
************************************************************************************************************************************************
7.43 units
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.5 units
************************************************************************************************************************************************
[**2113-2-1**] 07:16 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) venous ENTITY
************************************************************************************************************************************************
23 mEq/L
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
2.2 g/dL
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
7.8 mg/dL
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
4.0 mg/dL
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.08 mmol/L
************************************************************************************************************************************************
[**2113-1-30**] 11:46 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.0 mg/dL
************************************************************************************************************************************************
[**2113-2-6**] 11:00 PM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
21 IU/L
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
50 IU/L
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
23 IU/L
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Amylase ENTITY
************************************************************************************************************************************************
45 IU/L
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
0.4 mg/dL
************************************************************************************************************************************************
[**2113-2-6**] 04:05 AM ENTITY
************************************************************************************************************************************************
Triglyceride ENTITY
************************************************************************************************************************************************
120 mg/dL
************************************************************************************************************************************************
[**2113-1-25**] 03:36 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
12.3 K/uL ENTITY
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
8.8 g/dL
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
26.9 %
************************************************************************************************************************************************
[**2113-2-7**] 04:00 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Non-Standard ENTITY TPN ENTITY For Date ENTITY :
************************************************************************************************************************************************
[**2113-2-6**] (1600ml, 270drextrose/80protein/35fat)
************************************************************************************************************************************************
Replete ENTITY with fiber ENTITY Full strength;
************************************************************************************************************************************************
Starting rate ENTITY : 10 ml/hr; Advance rate ENTITY by 10 ml q6h Goal rate ENTITY : 60 ml/hr
************************************************************************************************************************************************
Residual Check ENTITY : q4h Hold feeding ENTITY for residual ENTITY >= : 200 ml
************************************************************************************************************************************************
Flush ENTITY w/ 30 ml water ENTITY q8h
************************************************************************************************************************************************
GI ENTITY : Abdominal ENTITY : Soft ENTITY , Non-distended, Non-tender ENTITY , Bowel sounds ENTITY present,
************************************************************************************************************************************************
PEG site ENTITY clean ENTITY and dry ENTITY . Peg to gravity drainage ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
49 year ENTITY old male ENTITY with Mitral valve endocarditis ENTITY , preop stroke ENTITY s/p MVR ENTITY
************************************************************************************************************************************************
and debridement ENTITY of aortic valve [** ENTITY 1-27**], patient ENTITY failed S & S evaluation ENTITY ,
************************************************************************************************************************************************
TPN ENTITY started over the weekend ENTITY while awaiting PEG ENTITY . PEG ENTITY placed
************************************************************************************************************************************************
yesterday ENTITY , plan ENTITY to start tube feeds ENTITY today, current ENTITY tube feed ENTITY order not
************************************************************************************************************************************************
meeting ENTITY patient ENTITY
************************************************************************************************************************************************
s estimated need. Noted ENTITY patient ENTITY with post ENTITY op fluid
************************************************************************************************************************************************
gain, recommend fluid restricted formula ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Consider ordering day 1 TPN ENTITY tonight while slowly advancing
************************************************************************************************************************************************
tube feed ENTITY
************************************************************************************************************************************************
Tube feeding ENTITY : Isosource 1.5cal goal ENTITY 45ml/hr ( 1620kcal/73g
************************************************************************************************************************************************
protein)
************************************************************************************************************************************************
Start tube ENTITY feed at 15ml/hr and adv ENTITY slowly as tol ENTITY
************************************************************************************************************************************************
Check chemistry ENTITY 10 panel daily ENTITY , replete prn
************************************************************************************************************************************************
Continue BS ENTITY management ENTITY
************************************************************************************************************************************************
[**Numeric Identifier 943**] if has question
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40461,Nutrition,"Subjective
************************************************************************************************************************************************
patient ENTITY sleeping
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
178 cm
************************************************************************************************************************************************
63 kg
************************************************************************************************************************************************
74.9 kg ([**2113-2-3**] 04:00 AM ENTITY )
************************************************************************************************************************************************
19.9
************************************************************************************************************************************************
Pertinent medications ENTITY : D5 @10 ml/hr ENTITY , KCl ENTITY (40 mEq repletion ENTITY ), RISS ENTITY , IV ENTITY
************************************************************************************************************************************************
abx, lansoprazole ENTITY , famotidine ENTITY , others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
73
************************************************************************************************************************************************
[**2113-2-4**] 12:00 PM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
135
************************************************************************************************************************************************
[**2113-2-4**] 12:00 AM
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
25 mg/dL
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
1.6 mg/dL
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
140 mEq/L
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.5 mEq/L
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
108 mEq/L
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
65 mm Hg
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
48 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
30 mm Hg
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
33 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.46 units
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( venous ENTITY )
************************************************************************************************************************************************
7.43 units
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.5 units
************************************************************************************************************************************************
[**2113-2-1**] 07:16 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-1-31**] 04:47 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) venous ENTITY
************************************************************************************************************************************************
23 mEq/L
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
2.1 g/dL
************************************************************************************************************************************************
[**2113-2-1**] 02:44 PM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
7.3 mg/dL
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
3.1 mg/dL
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.08 mmol/L
************************************************************************************************************************************************
[**2113-1-30**] 11:46 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.0 mg/dL
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
23 IU/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
51 IU/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
24 IU/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Amylase ENTITY
************************************************************************************************************************************************
40 IU/L
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
0.3 mg/dL
************************************************************************************************************************************************
[**2113-2-3**] 05:24 AM ENTITY
************************************************************************************************************************************************
Triglyceride ENTITY
************************************************************************************************************************************************
120 mg/dL
************************************************************************************************************************************************
[**2113-1-25**] 03:36 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
13.4 K/uL ENTITY
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
9.8 g/dL
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
29.7 %
************************************************************************************************************************************************
[**2113-2-4**] 03:42 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : NPO ENTITY
************************************************************************************************************************************************
GI ENTITY : soft ENTITY , hypoactive bowel sounds ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
Specifics ENTITY : Patient s/p video swallow ENTITY [**2-3**] which recommended patient ENTITY be
************************************************************************************************************************************************
NPO ENTITY . Received consult ENTITY for PPN ENTITY recommendations ENTITY . Per discussion with PA ENTITY ,
************************************************************************************************************************************************
plan ENTITY is for PEG placement ENTITY on Monday ENTITY and to supplement ENTITY nutrition ENTITY with
************************************************************************************************************************************************
parenteral nutrition ENTITY until PEG ENTITY is able to be used. Patient ENTITY with PICC ENTITY ,
************************************************************************************************************************************************
Day ENTITY 1 TPN ENTITY ordered ENTITY to start tonight. NGT ENTITY was attempted earlier in week ENTITY
************************************************************************************************************************************************
and was unable to placed and team ENTITY thinks patient ENTITY would pull it out.
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
1. Day ENTITY 1 TPN ENTITY tonight
************************************************************************************************************************************************
2. Pending glycemic control ENTITY advance to goal ENTITY TPN ENTITY 1.6L (270 g
************************************************************************************************************************************************
dextrose/80 g amino ENTITY acids/35 g lipids)= 1588 kcals
************************************************************************************************************************************************
3. Check ENTITY TG ENTITY hold lipids ENTITY if greater than 400
************************************************************************************************************************************************
4. Once PEG ENTITY placed start with Isosource ENTITY HN ENTITY @ 15 ml/hr advance to
************************************************************************************************************************************************
goal ENTITY of 45 ml/hr = 1620 kcals/ 73 g protein ENTITY
************************************************************************************************************************************************
5. Will follow page [**Numeric Identifier 1372**] with questions ENTITY
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40461,Nutrition,"Subjective
************************************************************************************************************************************************
Patient asleep ENTITY , [** Name8 ENTITY ( MD ENTITY ) 77**] RN ENTITY , patient ENTITY refused all po food ENTITY or supplements ENTITY .
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
178 cm
************************************************************************************************************************************************
63 kg
************************************************************************************************************************************************
70.5 kg ([**2113-1-19**] 08:00 AM ENTITY )
************************************************************************************************************************************************
up due to fluid ENTITY
************************************************************************************************************************************************
19.9
************************************************************************************************************************************************
Ideal body weight ENTITY
************************************************************************************************************************************************
% Ideal body weight ENTITY
************************************************************************************************************************************************
Adjusted ENTITY weight
************************************************************************************************************************************************
Usual body weight ENTITY
************************************************************************************************************************************************
% Usual body weight ENTITY
************************************************************************************************************************************************
75.3 kg
************************************************************************************************************************************************
119%
************************************************************************************************************************************************
63 kg
************************************************************************************************************************************************
100%
************************************************************************************************************************************************
Diagnosis ENTITY : MITRAL VALVE ENTITY ENDOCARDITIS
************************************************************************************************************************************************
PMHx ENTITY : None - no ENTITY medical care x 30 years ENTITY
************************************************************************************************************************************************
Food allergies ENTITY and intolerances ENTITY : not available
************************************************************************************************************************************************
Pertinent medications ENTITY : Furosemide ENTITY , Milrinone ENTITY , Multivitamins ENTITY , Thiamine ENTITY ,
************************************************************************************************************************************************
FoLIC Acid ENTITY , Nicotine ENTITY Patch ENTITY , Heparin ENTITY , Docusate Sodium ENTITY , Nafcillin ENTITY ,
************************************************************************************************************************************************
Potassium Chloride ENTITY , others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
117 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
25 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
1.5 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
137 mEq/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.3 mEq/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
103 mEq/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
145 mm Hg
************************************************************************************************************************************************
[**2113-1-15**] 04:51 PM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
34 mm Hg
************************************************************************************************************************************************
[**2113-1-15**] 04:51 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( venous ENTITY )
************************************************************************************************************************************************
7.45 units
************************************************************************************************************************************************
[**2113-1-15**] 04:51 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.0 units
************************************************************************************************************************************************
[**2113-1-18**] 12:03 PM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) venous ENTITY
************************************************************************************************************************************************
24 mEq/L
************************************************************************************************************************************************
[**2113-1-15**] 04:51 PM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
1.9 g/dL
************************************************************************************************************************************************
[**2113-1-18**] 07:15 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
7.1 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
4.8 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
1.9 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
36 IU/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
44 IU/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
54 IU/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
0.4 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
13.0 K/uL ENTITY
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
11.8 g/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
35.2 %
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Regular ENTITY ; Supplement ENTITY : Ensure ENTITY
************************************************************************************************************************************************
Plus breakfast ENTITY , lunch ENTITY , dinner ENTITY
************************************************************************************************************************************************
GI ENTITY : Abdominal ENTITY : Soft ENTITY , Non-tender ENTITY , Bowel sounds ENTITY present
************************************************************************************************************************************************
Extremities ENTITY : Right lower extremity edema ENTITY : Absent ENTITY , Left lower extremity ENTITY
************************************************************************************************************************************************
edema ENTITY
************************************************************************************************************************************************
Skin ENTITY : Warm, Rash ENTITY : upper ENTITY and lower ext, occ petechiae ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
At risk ENTITY for malnutrition ENTITY
************************************************************************************************************************************************
Patient ENTITY at risk ENTITY due to: Low ENTITY po intake ENTITY , current illness ENTITY , head CT showed multipl ENTITY
************************************************************************************************************************************************
e small non-hemorrhagic ENTITY
************************************************************************************************************************************************
infarcts ENTITY suspicious ENTITY for septic emboli ENTITY ,
************************************************************************************************************************************************
Estimated Nutritional Needs ENTITY
************************************************************************************************************************************************
Calories ENTITY : 1575-1764 ( BEE ENTITY x or / 25-28 cal/kg)
************************************************************************************************************************************************
Protein ENTITY : 76-88 (1.2-1.4 g/kg)
************************************************************************************************************************************************
Fluid ENTITY : per team
************************************************************************************************************************************************
Calculations ENTITY based on: Admit weight ENTITY
************************************************************************************************************************************************
Estimation ENTITY of previous intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Specifics ENTITY :
************************************************************************************************************************************************
49 year ENTITY old male ENTITY found to have staphylococcus aureus ENTITY bacterial ENTITY
************************************************************************************************************************************************
endocarditis ENTITY with severe ENTITY mitral regurgitation [**3 ENTITY -21**] mitral valve
************************************************************************************************************************************************
vegetations ENTITY and flail leaflet ENTITY . Patient transferred ENTITY from [**Hospital **] [**Hospital1 5**] for CT surgery ENTITY evaluation ENTITY and further management ENTITY .
************************************************************************************************************************************************
Patient ENTITY s/p speech and swallow ENTITY evaluation ENTITY , okay to have regular diet ENTITY ,
************************************************************************************************************************************************
yet patient ENTITY refused to take pos. spoke ENTITY to team this morning ENTITY , team
************************************************************************************************************************************************
considering NGT ENTITY placement ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Po ENTITY as tolerance ENTITY
************************************************************************************************************************************************
Tube ENTITY feeding ENTITY recommendations ENTITY : Nutren Pulmonary goal ENTITY 45ml/hr
************************************************************************************************************************************************
(1620kcal/73.4g protein)
************************************************************************************************************************************************
Monitor tube feed tolerance ENTITY
************************************************************************************************************************************************
Check chemistry ENTITY 10 panel daily ENTITY , replete ENTITY as you are doing
************************************************************************************************************************************************
Consider adding phos binder ENTITY if serum phos ENTITY remains elevated ENTITY
************************************************************************************************************************************************
Start regular ENTITY insulin sliding scale if serum glucose ENTITY greater
************************************************************************************************************************************************
than 150 mg/dL
************************************************************************************************************************************************
Other: [**Numeric Identifier 943**] if has question
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40461,Nutrition,"Subjective
************************************************************************************************************************************************
Patient asleep ENTITY , [** Name8 ENTITY ( MD ENTITY ) 77**] RN ENTITY , patient ENTITY refused all po food ENTITY or supplements ENTITY .
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
178 cm
************************************************************************************************************************************************
63 kg
************************************************************************************************************************************************
70.5 kg ([**2113-1-19**] 08:00 AM ENTITY )
************************************************************************************************************************************************
up due to fluid ENTITY
************************************************************************************************************************************************
19.9
************************************************************************************************************************************************
Ideal body weight ENTITY
************************************************************************************************************************************************
% Ideal body weight ENTITY
************************************************************************************************************************************************
Adjusted ENTITY weight
************************************************************************************************************************************************
Usual body weight ENTITY
************************************************************************************************************************************************
% Usual body weight ENTITY
************************************************************************************************************************************************
75.3 kg
************************************************************************************************************************************************
119%
************************************************************************************************************************************************
63 kg
************************************************************************************************************************************************
100%
************************************************************************************************************************************************
Diagnosis ENTITY : MITRAL VALVE ENTITY ENDOCARDITIS
************************************************************************************************************************************************
PMHx ENTITY : None - no ENTITY medical care x 30 years ENTITY
************************************************************************************************************************************************
Food allergies ENTITY and intolerances ENTITY : not available
************************************************************************************************************************************************
Pertinent medications ENTITY : Furosemide ENTITY , Milrinone ENTITY , Multivitamins ENTITY , Thiamine ENTITY ,
************************************************************************************************************************************************
FoLIC Acid ENTITY , Nicotine ENTITY Patch ENTITY , Heparin ENTITY , Docusate Sodium ENTITY , Nafcillin ENTITY ,
************************************************************************************************************************************************
Potassium Chloride ENTITY , others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
117 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
25 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
1.5 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
137 mEq/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.3 mEq/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
103 mEq/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
145 mm Hg
************************************************************************************************************************************************
[**2113-1-15**] 04:51 PM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
34 mm Hg
************************************************************************************************************************************************
[**2113-1-15**] 04:51 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( venous ENTITY )
************************************************************************************************************************************************
7.45 units
************************************************************************************************************************************************
[**2113-1-15**] 04:51 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.0 units
************************************************************************************************************************************************
[**2113-1-18**] 12:03 PM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) venous ENTITY
************************************************************************************************************************************************
24 mEq/L
************************************************************************************************************************************************
[**2113-1-15**] 04:51 PM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
1.9 g/dL
************************************************************************************************************************************************
[**2113-1-18**] 07:15 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
7.1 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
4.8 mg/dL
************************************************************************************************************************************************
[**2113-1-20**] 02:36 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
1.9 mg/dL
************************************************************************************************************************************************
IOPub message rate exceeded.
The Jupyter server will temporarily stop sending output
to the client in order to avoid crashing it.
To change this limit, set the config variable
`--ServerApp.iopub_msg_rate_limit`.

Current values:
ServerApp.iopub_msg_rate_limit=1000.0 (msgs/sec)
ServerApp.rate_limit_window=3.0 (secs)

23 mEq/L
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
2.2 g/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
7.6 mg/dL
************************************************************************************************************************************************
[**2113-2-1**] 03:30 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
4.6 mg/dL
************************************************************************************************************************************************
[**2113-2-1**] 03:30 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.08 mmol/L
************************************************************************************************************************************************
[**2113-1-30**] 11:46 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.2 mg/dL
************************************************************************************************************************************************
[**2113-2-1**] 03:30 AM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
20 IU/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
57 IU/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
26 IU/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Amylase ENTITY
************************************************************************************************************************************************
17 IU/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
0.4 mg/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Triglyceride ENTITY
************************************************************************************************************************************************
120 mg/dL
************************************************************************************************************************************************
[**2113-1-25**] 03:36 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
18.2 K/uL ENTITY
************************************************************************************************************************************************
[**2113-2-1**] 03:30 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
10.4 g/dL
************************************************************************************************************************************************
[**2113-2-1**] 03:30 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
31.5 %
************************************************************************************************************************************************
[**2113-2-1**] 03:30 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Diet ENTITY : Ground solids ENTITY , thin
************************************************************************************************************************************************
liquids ENTITY ; Ensure Pudding ENTITY and Carnation Instant ENTITY Breakfast ENTITY with meals ENTITY ;
************************************************************************************************************************************************
calorie counts ENTITY [**2-1**], [**2-2**], [**2-3**]
************************************************************************************************************************************************
GI ENTITY : soft ENTITY , (+) bowel sounds ENTITY ; green liquid stool ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
Estimation ENTITY of current ENTITY intake ENTITY : Inadequate ENTITY
************************************************************************************************************************************************
Specifics ENTITY :
************************************************************************************************************************************************
Patient ENTITY s/p MVR ENTITY / AVR ENTITY [**1-27**]. Extubated [**1-30**]. Seen by SLP ENTITY [**1-31**] who
************************************************************************************************************************************************
recommended ENTITY above altered consistency diet ENTITY with 1:1 supervision ENTITY . [** Name8 ENTITY (MD) **]
************************************************************************************************************************************************
RN ENTITY , patient ENTITY took Ensure pudding ENTITY and some Carnation Instant ENTITY Breakfast
************************************************************************************************************************************************
shake ENTITY this AM ENTITY with a lot of encouragement ENTITY . Patient ENTITY takes very small
************************************************************************************************************************************************
bites ENTITY and is a picky eater ENTITY . RN ENTITY reports wife ENTITY to bring in a list of
************************************************************************************************************************************************
foods ENTITY that patient ENTITY likes. Calorie counts ENTITY starting today. Concerned ENTITY
************************************************************************************************************************************************
with nutrition status ENTITY given poor ENTITY po
************************************************************************************************************************************************
s during admit (refusing po
************************************************************************************************************************************************
s at
************************************************************************************************************************************************
times), only received tube feed ENTITY briefly on/off and recent surgery ENTITY .
************************************************************************************************************************************************
Would strongly recommend supplemental tube ENTITY feed to optimize nutrition ENTITY
************************************************************************************************************************************************
for post-op ENTITY recovery ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Current diet ENTITY / nutrition support ENTITY is appropriate:
************************************************************************************************************************************************
Encourage/assist with ENTITY po
************************************************************************************************************************************************
o Encourage wife ENTITY to bring in food preference list ENTITY or food ENTITY
************************************************************************************************************************************************
o Calorie counts ENTITY
************************************************************************************************************************************************
please record ENTITY on kitchen ENTITY receipt ENTITY percent
************************************************************************************************************************************************
eaten ENTITY
************************************************************************************************************************************************
Oral supplements ENTITY : Continue as ordered
************************************************************************************************************************************************
Multivitamin ENTITY / Mineral supplement ENTITY : continue current
************************************************************************************************************************************************
Tube ENTITY feeding ENTITY recommendations ENTITY :
************************************************************************************************************************************************
o Consider placing NGT ENTITY and beginning tube ENTITY feeds ENTITY to supplement
************************************************************************************************************************************************
poor ENTITY po
************************************************************************************************************************************************
o Tube feed goal ENTITY would be: Nutren Pulmonary @ 45ml/hr ENTITY = 1620
************************************************************************************************************************************************
calories ENTITY and 73g protein ENTITY
************************************************************************************************************************************************
Check chemistry ENTITY 10 panel daily ENTITY
************************************************************************************************************************************************
Will follow, page ENTITY if questions *[**Numeric Identifier 606**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
40461,Nutrition,"Subjective
************************************************************************************************************************************************
just extubated ENTITY
************************************************************************************************************************************************
Objective ENTITY
************************************************************************************************************************************************
Height ENTITY
************************************************************************************************************************************************
Admit weight ENTITY
************************************************************************************************************************************************
Daily weight ENTITY
************************************************************************************************************************************************
Weight change ENTITY
************************************************************************************************************************************************
BMI ENTITY
************************************************************************************************************************************************
178 cm
************************************************************************************************************************************************
63 kg
************************************************************************************************************************************************
76.2 kg ([**2113-1-30**] 04:00 AM ENTITY )
************************************************************************************************************************************************
19.9
************************************************************************************************************************************************
Pertinent medications ENTITY : Multivitamins ENTITY , others noted
************************************************************************************************************************************************
Labs ENTITY :
************************************************************************************************************************************************
Value ENTITY
************************************************************************************************************************************************
Date
************************************************************************************************************************************************
Glucose ENTITY
************************************************************************************************************************************************
106 mg/dL
************************************************************************************************************************************************
[**2113-1-30**] 07:59 AM ENTITY
************************************************************************************************************************************************
Glucose Finger ENTITY Stick
************************************************************************************************************************************************
93
************************************************************************************************************************************************
[**2113-1-29**] 06:00 PM ENTITY
************************************************************************************************************************************************
BUN ENTITY
************************************************************************************************************************************************
20 mg/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Creatinine ENTITY
************************************************************************************************************************************************
1.6 mg/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Sodium ENTITY
************************************************************************************************************************************************
137 mEq/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Potassium ENTITY
************************************************************************************************************************************************
3.5 mEq/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Chloride ENTITY
************************************************************************************************************************************************
104 mEq/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
TCO2 ENTITY
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
85.[**Numeric Identifier 299**] mm Hg
************************************************************************************************************************************************
[**2113-1-30**] 09:19 AM ENTITY
************************************************************************************************************************************************
PO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
48 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
33 mm Hg
************************************************************************************************************************************************
[**2113-1-30**] 09:19 AM ENTITY
************************************************************************************************************************************************
PCO2 ENTITY ( venous ENTITY )
************************************************************************************************************************************************
33 mm Hg
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( arterial ENTITY )
************************************************************************************************************************************************
7.41 units
************************************************************************************************************************************************
[**2113-1-30**] 09:19 AM ENTITY
************************************************************************************************************************************************
pH ENTITY ( venous ENTITY )
************************************************************************************************************************************************
7.43 units
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
pH ENTITY ( urine ENTITY )
************************************************************************************************************************************************
5.0 units
************************************************************************************************************************************************
[**2113-1-25**] 02:26 PM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) arterial
************************************************************************************************************************************************
22 mEq/L
************************************************************************************************************************************************
[**2113-1-30**] 09:19 AM ENTITY
************************************************************************************************************************************************
CO2 ENTITY ( Calc ENTITY ) venous ENTITY
************************************************************************************************************************************************
23 mEq/L
************************************************************************************************************************************************
[**2113-1-21**] 05:21 PM ENTITY
************************************************************************************************************************************************
Albumin ENTITY
************************************************************************************************************************************************
2.2 g/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Calcium ENTITY non-ionized ENTITY
************************************************************************************************************************************************
8.4 mg/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Phosphorus ENTITY
************************************************************************************************************************************************
5.2 mg/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Ionized Calcium ENTITY
************************************************************************************************************************************************
1.09 mmol/L
************************************************************************************************************************************************
[**2113-1-30**] 07:59 AM ENTITY
************************************************************************************************************************************************
Magnesium ENTITY
************************************************************************************************************************************************
2.1 mg/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
ALT ENTITY
************************************************************************************************************************************************
20 IU/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Alkaline Phosphate ENTITY
************************************************************************************************************************************************
57 IU/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
AST ENTITY
************************************************************************************************************************************************
26 IU/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Amylase ENTITY
************************************************************************************************************************************************
17 IU/L
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Total ENTITY Bilirubin ENTITY
************************************************************************************************************************************************
0.4 mg/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Triglyceride ENTITY
************************************************************************************************************************************************
120 mg/dL
************************************************************************************************************************************************
[**2113-1-25**] 03:36 AM ENTITY
************************************************************************************************************************************************
WBC ENTITY
************************************************************************************************************************************************
11.5 K/uL ENTITY
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Hgb ENTITY
************************************************************************************************************************************************
10.3 g/dL
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Hematocrit ENTITY
************************************************************************************************************************************************
30.1 %
************************************************************************************************************************************************
[**2113-1-30**] 03:25 AM ENTITY
************************************************************************************************************************************************
Current diet ENTITY order / nutrition support ENTITY : Nutren Pulmonary Full strength ENTITY ;
************************************************************************************************************************************************
Starting rate ENTITY : 10 ml/hr; Advance rate ENTITY by 10 ml q4h Goal rate ENTITY : 50 ml/hr
************************************************************************************************************************************************
Residual Check ENTITY : q4h Hold feeding ENTITY for residual ENTITY >= : 200 ml
************************************************************************************************************************************************
Flush ENTITY w/ 30 ml water q4h ENTITY ( not running)
************************************************************************************************************************************************
GI ENTITY : soft ENTITY , flesiseal ENTITY in place
************************************************************************************************************************************************
SKIN ENTITY : stage 2 wounds ENTITY
************************************************************************************************************************************************
Assessment ENTITY of Nutritional Status ENTITY
************************************************************************************************************************************************
49 year ENTITY old male ENTITY admitted ENTITY on [**1 ENTITY -15**] with endocarditis ENTITY s/p MVR ENTITY and aortic ENTITY
************************************************************************************************************************************************
valve debridement ENTITY on [**1 ENTITY -27**], patient ENTITY extubated ENTITY this morning ENTITY . Patient ENTITY
************************************************************************************************************************************************
well known to me from CCU ENTITY , patient ENTITY with minimal ENTITY nutrition ENTITY since
************************************************************************************************************************************************
hospital admission ENTITY (previously refused po food ENTITY and nutrition ENTITY
************************************************************************************************************************************************
supplements ENTITY in the ccu ENTITY , received 1 day ENTITY of tube feed ENTITY prior to OR ENTITY .
************************************************************************************************************************************************
Patient ENTITY at very high risk for malnutrition ENTITY , highly recommend replace
************************************************************************************************************************************************
feeding tube ENTITY , restart tube feed ENTITY as temporary ENTITY nutrition support ENTITY for post ENTITY
************************************************************************************************************************************************
op recovery ENTITY .
************************************************************************************************************************************************
Medical Nutrition Therapy ENTITY Plan ENTITY - Recommend ENTITY the Following
************************************************************************************************************************************************
Adv diet ENTITY if remains medically stable
************************************************************************************************************************************************
Continue tube feed ENTITY as supplemental nutrition support ENTITY : goal ENTITY
************************************************************************************************************************************************
Nutren Pulmonary goal ENTITY 45ml/hr to provide 1620kcal/73.4g protein
************************************************************************************************************************************************
Phos binder ENTITY if serum phos ENTITY remains elevated ENTITY
************************************************************************************************************************************************
Check chemistry ENTITY 10 panel daily ENTITY , replete prn
************************************************************************************************************************************************
BS ENTITY management ENTITY
************************************************************************************************************************************************
Other: [**Numeric Identifier 943**]
************************************************************************************************************************************************
"
************************************************************************************************************************************************
In [45]:
df=notes
In [46]:
# Build corpus of all the entities extracted from the notes using spaCy model.
# The corpus is an array of arrays or list of lists where each of the nested lists corresponds to a note.
corpus=[]
for row in range(0, len(df)):
  str_tokens=[]
  tokens= nlp(df[row]).ents
  for i in range(0, len(tokens)):
    str_tokens.append(tokens[i].text)
  corpus.append(list(str_tokens))


print(corpus)
[['SUBJECT_ID', 'CATEGORY'], ['MICU', 'aspiration', 'Diet'], ['NPO', 'NGT', 'medication', 'Noted', 'transition', 'comfort'], ['focused care'], ['Will sign', 'time', 'consult'], [], [], ['medications', 'RISS', 'SS', 'lytes', 'thiamin', 'folate', 'lasix', 'bowel'], ['regimen', 'MOM', 'reglan'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['AM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PCO2', 'arterial'], [], ['AM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'urine'], [], ['PM'], ['CO2', 'Calc'], [], ['AM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['PM'], ['Magnesium'], [], ['AM'], ['Current diet', 'nutrition support', 'Fibersource', 'HN@60mL/hr'], ['infusing'], ['GI', 'soft/+bs'], ['Assessment', 'Nutritional Status'], ['Specifics'], ['Pt', 'extubated', 'Pt', 'TF'], ['goal'], ['nutrition', 'Anticipate diet advancement'], [], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Advance diet', 'team', 'swallow', 'eval', 's/s', 'aspiration'], ['advance diet', 'SLP-', 'NGT', "resume TF's"], [], ['plan', 'page'], [], [], ['intubated'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], [], ['Ideal body weight'], ['Ideal body weight'], ['Adjusted'], ['Usual body weight'], ['Usual body weight'], [], [], ['Diagnosis', 'S/P Fall'], ['PMH', 'etoh', 'smoker', 'cirrhosis'], ['Food allergies', 'intolerances', 'NKFA'], ['medications', 'fentanyl', 'LR', 'lasix', 'RISS', 'IV'], [], ['Labs'], ['Value'], [], ['Glucose'], [], ['PM'], ['Glucose Finger'], [], ['AM'], ['BUN'], [], ['PM'], ['Creatinine'], [], ['PM'], ['Sodium'], [], ['PM'], ['Potassium'], [], ['PM'], ['Chloride'], [], ['PM'], ['TCO2'], [], ['PM'], ['PO2', 'arterial'], [], ['AM'], ['PCO2', 'arterial'], [], ['AM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'urine'], [], ['PM'], ['CO2', 'Calc'], [], ['AM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['PM'], ['Phosphorus'], [], ['PM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['PM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'NPO', 'replete', 'fiber'], [], ['GI', 'OGT'], ['Assessment', 'Nutritional Status'], ['risk', 'malnutrition'], ['Pt', 'risk', 'NPO', 'hypocaloric diet'], ['Estimated Nutritional Needs'], ['Calories'], ['Protein'], ['Fluid'], ['Estimation', 'intake', 'Adequate'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics', 'year', 'male', 'OSH', 'intubated', 'Pt'], ['S/P', 'CT', 'Stage IV splenic laceration', 'TF'], ['minimal residuals', 'Name8', 'RN', 'TF', 'kcals/89 g Pro'], ['Recommend', 'changing TF', 'nutritional'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Check chemistry', 'daily'], ['Change', 'TF', 'goal', 'Fibersource', 'HN'], ['Pro'], ['Pls page'], [], [], ['intubated'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], [], ['Ideal body weight'], ['Ideal body weight'], ['Adjusted'], ['Usual body weight'], ['Usual body weight'], [], [], ['Diagnosis', 'S/P Fall'], ['PMH', 'etoh', 'smoker', 'cirrhosis'], ['Food allergies', 'intolerances', 'NKFA'], ['medications', 'fentanyl', 'LR', 'lasix', 'RISS', 'IV'], [], ['Labs'], ['Value'], [], ['Glucose'], [], ['PM'], ['Glucose Finger'], [], ['AM'], ['BUN'], [], ['PM'], ['Creatinine'], [], ['PM'], ['Sodium'], [], ['PM'], ['Potassium'], [], ['PM'], ['Chloride'], [], ['PM'], ['TCO2'], [], ['PM'], ['PO2', 'arterial'], [], ['AM'], ['PCO2', 'arterial'], [], ['AM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'urine'], [], ['PM'], ['CO2', 'Calc'], [], ['AM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['PM'], ['Phosphorus'], [], ['PM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['PM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'NPO', 'replete', 'fiber'], [], ['GI', 'OGT'], ['Assessment', 'Nutritional Status'], ['risk', 'malnutrition'], ['Pt', 'risk', 'NPO', 'hypocaloric diet'], ['Estimated Nutritional Needs'], ['Calories'], ['Protein'], ['Fluid'], ['Estimation', 'intake', 'Adequate'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics', 'year', 'male', 'OSH', 'intubated', 'Pt'], ['S/P', 'CT', 'Stage IV splenic laceration', 'TF'], ['minimal residuals', 'Name8', 'RN', 'TF', 'kcals/89 g Pro'], ['Recommend', 'changing TF', 'nutritional'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Check chemistry', 'daily'], ['Change', 'TF', 'goal', 'Fibersource', 'HN'], ['Pro'], ['Pls page'], [], [], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], [], ['Ideal body weight'], ['Ideal body weight'], ['Adjusted'], ['Usual body weight'], ['Usual body weight'], [], [], ['Diagnosis', 'Head Bleed'], ['PMH', 'DM'], ['Food allergies', 'intolerances'], ['Pertinent medications', 'Esmolol', 'famotidine', 'colace', 'lytes', 'dilantin'], ['ssri'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['AM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PCO2', 'arterial'], [], ['AM'], ['pH', 'arterial'], [], ['AM'], ['CO2', 'Calc'], [], ['AM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['AM'], ['Phenytoin', 'Dilantin'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Replete', 'fiber'], ['Goal rate'], ['Residual Check', 'feeding', 'residual'], ['GI'], ['Assessment', 'Nutritional Status'], ['risk', 'malnutrition'], ['Pt', 'risk', 'NPO', 'hypocaloric diet'], ['Estimated Nutritional Needs'], ['Calories', '[**2027**]-2200', 'BEE'], ['Protein'], ['Fluid'], ['Estimation', 'intake', 'Adequate'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics'], ['male', 's/p', 'head trauma', 'right parietal-occipital\n'], ['SAH', 'left intraparenchymal bleed', 'contre-coup injury', 'Pt'], ['tol', 'goal TF', 'issue', 'per chart'], ['gag', 'extubate', 'extubate'], ['TF', 'needs'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Tube', 'feeding', 'recommendations'], ['Check chemistry', 'daily', 'replete'], ['Cont', 'Bg', 'management'], ['Pplease page'], [], [], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], [], ['Ideal body weight'], ['Ideal body weight'], ['Adjusted'], ['Usual body weight'], ['Usual body weight'], [], [], ['Diagnosis', 'Head Bleed'], ['PMH', 'DM', 'HTN'], ['Food allergies', 'intolerances'], ['Pertinent medications', 'Esmolol', 'famotidine', 'colace', 'lytes', 'dilantin'], ['ssri'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['AM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PCO2', 'arterial'], [], ['AM'], ['pH', 'arterial'], [], ['AM'], ['CO2', 'Calc'], [], ['AM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['AM'], ['Phenytoin', 'Dilantin'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Replete', 'fiber'], ['Goal rate'], ['Residual Check', 'feeding', 'residual'], ['GI', 'Soft', 'Non-distended', 'Non-tender'], ['Assessment', 'Nutritional Status'], ['risk', 'malnutrition'], ['Pt', 'risk', 'NPO'], ['Estimated Nutritional Needs'], ['Calories', 'BEE'], ['Protein'], ['Fluid'], ['Estimation', 'intake', 'adequate'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics'], ['male', 's/p', 'head trauma', 'right parietal-occipital\n'], ['SAH', 'left intraparenchymal bleed', 'contre-coup injury', 'Pt'], ['tol', 'goal TF', 'issue', 'per chart'], ['gag', 'cough', 'LF', 'Name3', 'plan', 'extubate'], ['extubate', 'TF', 'needs'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Tube', 'feeding', 'recommendations', 'increase', 'TF', 'Replete', 'Fiber', 'goal'], [], ['Check chemistry', 'daily', 'prn'], ['Cont', 'Bg', 'management'], ['Please page'], [], [], ['medications', 'pepcid', 'Heparin', 'docusate', 'Abx', 'RISS'], [], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['PM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PCO2', 'arterial'], [], ['AM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'urine'], [], ['AM'], ['CO2', 'Calc'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Magnesium'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Replete'], [], ['GI', 'soft/+bs'], ['Assessment', 'Nutritional Status'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics'], ['Pt s/p', 'IVC'], ['infusing'], ['goal', 'estimated kcal'], ['increase', 'goal rate', 'TF'], [], ['underfeeding'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Multivitamin', 'Mineral supplement', 'vua TF'], ['Tube', 'feeding', 'recommendations', 'Increase', 'rate'], ['kcals/112 gr aa'], ['BG', 'management'], ['page'], [], ['NPO'], ['days', "patient's", 'diet', 'advanced', 'tolerated'], ['nutrition support'], ['Potential', 'nutrition risk', 'Patient', 'monitored'], ['intervention'], ['Comments'], ['Pt s/p LRRT [**4', 'c/b hypoxia', 'increased', 'O2', 'requirements', 'PACU'], ['clears', 'Clinically improving'], ['floor'], ['advance diet', 'patient'], ['nutrition support'], ['progress', 'tolerance'], ['questions'], [], [], [], ['Screening', 'Noted', 'patient', 'comfort'], ['measures', 'time'], ['consult'], [], [], ['patient', 'patient'], ['difficulty', 'swallowing', 'damaged', 'salivary glands', 'XRT'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], [], ['Ideal body weight'], ['Ideal body weight'], ['Adjusted'], ['Usual body weight'], ['Usual body weight'], [], [], [], ['Diagnosis', 'facial fx\n'], ['PMH', 'breast ca', 'tongue ca', 'ovarian ca', 'polymyalgia', 'NIDDM', 'vertigo'], ['falls'], ['Food allergies', 'intolerances'], ['medications', 'RISS', 'protonix', 'KCl', 'Dextrose'], ['normal saline', 'KCl'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['PM'], ['BUN'], [], ['PM'], ['Creatinine'], [], ['PM'], ['Sodium'], [], ['PM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['PM'], ['TCO2'], [], ['PM'], ['pH', 'urine'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['PM'], ['Phosphorus'], [], ['PM'], ['Magnesium'], [], ['PM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'NPO'], ['GI', 'obese', 'bowel sounds'], ['Assessment', 'Nutritional Status'], ['Obese', 'risk', 'malnutrition'], ['Pt', 'risk', 'NPO', 'hypocaloric diet', 'trauma'], ['Estimated Nutritional Needs', 'body'], ['Calories'], ['Protein'], ['Fluid'], ['Estimation', 'intake'], ['Estimation', 'current', 'intake', 'Inadequate', 'NPO', 'status'], ['Specifics', 'year', 'female', 'admitted', 'hospital S/P'], ['home', 'multiple injuries', 'Le Forte fx', 'multiple', 'sinus'], ['fx', 'orbital fx', 'facial', 'tongue swelling', 'Patient', 'SLP', '[**6-4**'], ['patient', 'NPO', 'patient'], ['diet'], ['advanced', 'initiating', 'tube feedings'], ['nutritional decline'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['diet', 'tube feedings'], ['Replete', 'Fiber', 'goal'], ['protein'], ['Check residuals'], ['Monitor lytes', 'glucose', 'initiation', 'tube feeding'], ['non-dextrose IV fluids', 'tube feedings'], ['Implement', 'SLP'], ['questions'], [], [], ['oriented'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], ['AM'], [], ['medications', 'Ranitidine', 'Multi-vitamin', 'ABX', 'Folic Acid'], ['Thiamine', 'Coumadin', 'Lasix', 'Colace', 'KCl', 'repletion'], ['Magnesium sulfate', 'repletion', 'Heparin drip'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['PM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'arterial'], [], ['AM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['AM'], ['CO2', 'Calc'], [], ['AM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['PM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Amylase'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['Triglyceride'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Diet', 'NPO'], ['Calorie counts'], ['GI', 'soft', 'bowel sounds', 'stool'], ['Assessment', 'Nutritional Status'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics'], ['year', 'male', 'mitral valve endocarditis', 'preop stroke', 'MVR'], ['Name8', 'NamePattern1', 'NamePattern1', 'debridement', 'aortic valve [**1', 'Patient'], ['prolonged', 'poor'], ['ground solids', 'thin liquid'], ['diet'], [], [], ['calories', 'video swallow', 'evaluation', 'AM'], ['SLP', 'NPO', 'PA'], ['PEG placement'], ['NGT', 'patient'], ['PEG', 'long term'], ['nutritional decline', 'optimize', 'nutrition', 'post-op healing', 'Noted'], ['multiple', 'lyte', 'repletions'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['diet', 'nutrition support'], ['NPO', 'SLP', 'recommendations'], ['SLP', 'follow up'], ['Tube', 'feeding', 'recommendations', 'PEG'], ['feeding tube', 'Isosource'], ['tolerated', 'goal', 'calories'], ['protein'], ['tube feed'], ['Multivitamin', 'Mineral supplement'], ['Check chemistry', 'daily'], ['Replete', 'lytes', 'PRN'], ['page'], [], [], ['Patient oob', 'tube feed running'], ['Objective'], ['medications'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['PM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'arterial'], [], ['AM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['AM'], ['CO2', 'Calc'], [], ['AM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['PM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Amylase'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['Triglyceride'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Replete', 'fiber'], ['strength'], ['rate', 'Advance rate', 'Goal rate'], ['Residual Check', 'feeding', 'residual'], ['Flush', 'water'], ['GI', 'Abdominal', 'Soft', 'Non-tender', 'Bowel sounds'], ['PEG site', 'clean', 'dry'], ['Assessment', 'Nutritional Status'], ['year', 'male', 'PEG placement yesterday', 'tube feed'], ['yesterday', 'tolerated', 'Isosource', 'tube feed ordered', 'changed'], ['Replete', 'fiber', 'morning', 'spoke', 'patient'], ['special tube feed', 'Fibersource', 'HN'], ['formula', 'excess', 'amount', 'protein', 'Noted discharge'], ['progress'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Tube', 'feeding', 'Fibersource', 'HN', 'goal'], [], ['Check chemistry', 'daily'], ['BS', 'management'], [], [], [], ['Patient asleep'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], ['AM'], [], ['medications', 'Multiple', 'Vitamins', 'Furosemide', 'Docusate Sodium'], [], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['AM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'arterial'], [], ['AM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['AM'], ['CO2', 'Calc'], [], ['AM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['PM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Amylase'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['Triglyceride'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Non-Standard', 'TPN', 'Date'], [], ['Replete', 'fiber'], ['rate', 'Advance rate', 'Goal rate'], ['Residual Check', 'feeding', 'residual'], ['Flush', 'water'], ['GI', 'Abdominal', 'Soft', 'Non-tender', 'Bowel sounds'], ['PEG site', 'clean', 'dry', 'gravity drainage'], ['Assessment', 'Nutritional Status'], ['year', 'male', 'Mitral valve endocarditis', 'preop stroke', 'MVR'], ['debridement', 'aortic valve [**', 'patient', 'evaluation'], ['TPN', 'weekend', 'PEG', 'PEG'], ['yesterday', 'plan', 'tube feeds', 'current', 'tube feed'], ['meeting', 'patient'], ['Noted', 'patient', 'post'], ['fluid restricted formula'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['TPN'], ['tube feed'], ['Tube feeding', 'Isosource 1.5cal goal'], [], ['Start tube', 'adv', 'tol'], ['Check chemistry', 'daily'], ['BS', 'management'], [], [], [], ['patient'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], ['AM'], [], ['medications', 'D5 @10 ml/hr', 'KCl', 'repletion', 'RISS', 'IV'], ['lansoprazole', 'famotidine'], ['Labs'], ['Value'], [], ['Glucose'], [], ['PM'], ['Glucose Finger'], [], [], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'arterial'], [], ['AM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['AM'], ['CO2', 'Calc'], [], ['AM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['PM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Amylase'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['Triglyceride'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'NPO'], ['GI', 'soft', 'hypoactive bowel sounds'], ['Assessment', 'Nutritional Status'], ['Specifics', 'Patient s/p video swallow', 'patient'], ['NPO', 'consult', 'PPN', 'recommendations', 'PA'], ['plan', 'PEG placement', 'Monday', 'supplement', 'nutrition'], ['parenteral nutrition', 'PEG', 'Patient', 'PICC'], ['Day', 'TPN', 'ordered', 'NGT', 'week'], ['team', 'patient'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Day', 'TPN'], ['glycemic control', 'goal', 'TPN'], ['amino'], ['Check', 'TG', 'lipids'], ['PEG', 'Isosource', 'HN'], ['goal', 'protein'], ['questions'], [], [], ['Patient asleep', 'Name8', 'MD', 'RN', 'patient', 'po food', 'supplements'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], ['AM'], ['fluid'], [], ['Ideal body weight'], ['Ideal body weight'], ['Adjusted'], ['Usual body weight'], ['Usual body weight'], [], [], [], [], ['Diagnosis', 'MITRAL VALVE'], ['PMHx', 'no', 'years'], ['Food allergies', 'intolerances'], ['medications', 'Furosemide', 'Milrinone', 'Multivitamins', 'Thiamine'], ['FoLIC Acid', 'Nicotine', 'Patch', 'Heparin', 'Docusate Sodium', 'Nafcillin'], ['Potassium Chloride'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['PM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Regular', 'Supplement', 'Ensure'], ['Plus breakfast', 'lunch', 'dinner\n'], ['GI', 'Abdominal', 'Soft', 'Non-tender', 'Bowel sounds'], ['Extremities', 'Right lower extremity edema', 'Absent', 'Left lower extremity'], ['edema'], ['Skin', 'Rash', 'upper', 'occ petechiae'], ['Assessment', 'Nutritional Status'], ['risk', 'malnutrition'], ['Patient', 'risk', 'Low', 'intake', 'illness', 'multipl'], ['non-hemorrhagic'], ['infarcts', 'suspicious', 'septic emboli'], ['Estimated Nutritional Needs'], ['Calories', 'BEE'], ['Protein'], ['Fluid'], ['Calculations', 'Admit weight'], ['Estimation', 'intake', 'Inadequate'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics'], ['year', 'male', 'staphylococcus aureus', 'bacterial'], ['endocarditis', 'severe', 'mitral regurgitation [**3'], ['vegetations', 'flail leaflet', 'Patient transferred', 'CT surgery', 'evaluation', 'management'], ['Patient', 'swallow', 'evaluation', 'regular diet'], ['patient', 'spoke', 'morning'], ['NGT', 'placement'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Po', 'tolerance'], ['Tube', 'feeding', 'recommendations', 'Nutren Pulmonary goal'], [], ['Monitor tube feed tolerance'], ['Check chemistry', 'daily', 'replete'], ['phos binder', 'serum phos', 'elevated'], ['Start regular', 'serum glucose'], [], [], [], [], ['Patient asleep', 'Name8', 'MD', 'RN', 'patient', 'po food', 'supplements'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], ['AM'], ['fluid'], [], ['Ideal body weight'], ['Ideal body weight'], ['Adjusted'], ['Usual body weight'], ['Usual body weight'], [], [], [], [], ['Diagnosis', 'MITRAL VALVE'], ['PMHx', 'no', 'years'], ['Food allergies', 'intolerances'], ['medications', 'Furosemide', 'Milrinone', 'Multivitamins', 'Thiamine'], ['FoLIC Acid', 'Nicotine', 'Patch', 'Heparin', 'Docusate Sodium', 'Nafcillin'], ['Potassium Chloride'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['PM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Regular', 'Supplement', 'Ensure'], ['Plus breakfast', 'lunch', 'dinner\n'], ['GI', 'Abdominal', 'Soft', 'Non-tender', 'Bowel sounds'], ['Extremities', 'Right lower extremity edema', 'Absent', 'Left lower extremity'], ['edema'], ['Skin', 'Rash', 'upper', 'occ petechiae'], ['Assessment', 'Nutritional Status'], ['risk', 'malnutrition'], ['Patient', 'risk', 'Low', 'intake', 'illness', 'multipl'], ['non-hemorrhagic'], ['infarcts', 'suspicious', 'septic emboli'], ['Estimated Nutritional Needs'], ['Calories', 'BEE'], ['Protein'], ['Fluid'], ['Calculations', 'Admit weight'], ['Estimation', 'intake', 'Inadequate'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics'], ['year', 'male', 'staphylococcus aureus', 'bacterial'], ['endocarditis', 'severe', 'mitral regurgitation [**3'], ['vegetations', 'flail leaflet', 'Patient transferred', 'CT surgery', 'evaluation', 'management'], ['Patient', 'swallow', 'evaluation', 'regular diet'], ['patient', 'spoke', 'morning'], ['NGT', 'placement'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Po', 'tolerance'], ['Tube', 'feeding', 'recommendations', 'Nutren Pulmonary goal'], [], ['Monitor tube feed tolerance'], ['Check chemistry', 'daily', 'replete'], ['phos binder', 'serum phos', 'elevated'], ['Start regular', 'serum glucose'], [], [], [], ['Cardiology Teaching', 'Physician', 'Note'], ['day', 'examined', 'physically present'], ['resident', 'fellow', 'portions', 'services'], ['plans'], ['remarks'], ['Medical Decision Making'], ['Patient', 'improving', 'aggressive', 'diuresis'], ['initiation', 'Milrinone', 'dyspneic', 'saturations'], ['Renal service', 'ARF', 'multifactorial', 'sediment'], ['ATM', 'Createnine', 'stable', 'speaking'], ['somnolent', 'wife', 'night'], ['WBC', 'K', 'K', 'continuing', 'Nafcillin'], ['bllod cultures', 'fever', 'spikes', 'fevers'], ['image', 'abdomen', 'intermittent'], ['abdominal pain', 'C-[**Doctor First Name 91**'], ['delay surgery'], ['Entered', 'By:[**Name (NI) **] [**Last Name (NamePattern1) **]', 'MD'], ['on:[**2113-1-20**]', 'PM'], [], ['patient'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], ['AM'], [], ['medications', 'Milrinone', 'protonix'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'arterial'], [], ['AM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['PM'], ['CO2', 'Calc'], [], ['AM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Diet', 'Regular/ heart healthy'], ['TID'], ['GI', 'abd soft', 'bowel sounds'], ['Assessment', 'Nutritional Status'], ['year', 'male', 'staphylococcus aureus', 'bacterial'], ['endocarditis', 'severe', 'mitral regurgitation [**3'], ['vegetations', 'flail leaflet', 'Patient transferred', 'CT surgery', 'evaluation', 'management'], ['Patient', 'swallow', 'evaluation', 'regular diet'], ['patient'], ['mental status'], ['Team', 'NGT', 'tube feeds'], ['feeding', 'recommendations'], ['amount'], ['patient'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['estimated', 'recommend', 'Nutren Pulmonary\n'], [], ['po', 'intake', 'mental status', 'tube\n'], ['feeds'], ['g-'], [], [], ['intub'], ['Objective'], ['medications', 'Multivitamins', 'FoLIC Acid', 'Pantoprazole'], ['Potassium Chloride', 'Norepinephrine drip'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'arterial'], [], ['AM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['PM'], ['CO2', 'Calc'], [], ['AM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Amylase'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['Triglyceride'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Nutren Pulmonary Full strength'], ['Banana flakes'], ['rate', 'Advance rate', 'Goal rate'], ['Residual Check', 'feeding', 'residual'], ['water', 'q8h', 'morning'], ['NPO', 'Procedure Start', '12:01AM Procedure', 'CSURG'], [], ['resume diet', 'procedure'], ['GI', 'soft', 'ND', 'NT', 'NBS'], ['Ext', 'pulses', 'edema', 'extremtiies'], ['Assessment', 'Nutritional Status'], ['year', 'male', 'staphlyococcus aureus', 'bacterial'], ['endocarditis', 'severe', 'mitral regurgitation [**3'], ['vegetations', 'flail leaflet', 'patient', 'AVR'], ['MVR', 'debridement', 'epidural abscess', 'Patient'], ['nutrition', 'admission', 'tube feed'], ['high risk', 'malnutrition', 'post cardiac'], ['surgery', 'restart tube feed', 'patient'], ['food', 'admission'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Multivitamin', 'Mineral supplement', 'discontinue'], ['tube feed restarts'], ['Tube', 'feeding', 'recommendations', 'restart tube feed'], ['Check chemistry', 'daily', 'replete'], ['Start regular', 'serum glucose'], [], [], [], [], ['Wt'], ['IBW'], ['BMI'], ['Diabetes', 'Dyslipidemia', 'Hypertension'], ['worst', 'left posterior cerebral artery', 'infarct(neurologic\n'], ['deficits', 'left sided facial droop', 'right sided neglect', 'right\n'], ['sided hemiparesis', 'expressive aphasia'], ['MVR(29mm St. [**', 'Mechanical Valve', 'Debridement', 'Aortic Valve'], ['Teeth extraction'], ['Diet Order'], ['year', 'male', 'rehab', 'M.  ', 'Patient'], ['hospital CT', 'depressed', 'right frontal sinus', 'Patient'], ['transferred'], ['Potential', 'nutrition risk', 'Patient', 'monitored'], ['intervention'], ['Comments'], [], [], ['Wt'], ['IBW'], ['BMI'], ['Diabetes', 'Dyslipidemia', 'Hypertension'], ['worst', 'left posterior cerebral artery', 'infarct(neurologic\n'], ['deficits', 'left sided facial droop', 'right sided neglect', 'right\n'], ['sided hemiparesis', 'expressive aphasia'], ['MVR(29mm St. [**', 'Mechanical Valve', 'Debridement', 'Aortic Valve'], ['Teeth extraction'], ['Diet Order'], ['year', 'male', 'coumadin', 'prosthetic mitral valve'], ['Staphylococcal endocarditis', 'MV', 'AV', 'c/b multiple', 'embolic'], ['strokes', 'rehab s/p fall', 'Patient', 'diet'], ['vomiting', 'Patient reports', 'po', 'intake'], ['Patient', 'wt loss', 'PTA', 'usual body'], ['supplements', 'increase', 'caloric intake'], ['Recommendations'], ['Encourage pos', 'supplements'], ['TID'], ['questions'], [], [], ['oriented'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], ['AM'], [], ['medications', 'Ranitidine', 'ABX', 'Folic Acid', 'Thiamine'], ['Multi-vitamin', 'lasix', 'Colace (Held)', 'KCl', 'repletion'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], [], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'arterial'], [], ['AM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['AM'], ['CO2', 'Calc'], [], ['AM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Amylase'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['Triglyceride'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Diet', 'Ground solids'], ['liquids', 'Ensure Pudding', 'Carnation Instant', 'Breakfast', 'meals'], ['calorie counts'], ['GI', 'soft', 'bowel sounds', 'green liquid stool'], ['Assessment', 'Nutritional Status'], ['Estimation', 'current', 'intake', 'Inadequate'], ['Specifics'], ['Patient', 'MVR', 'AVR', 'SLP'], ['recommended', 'consistency diet', 'supervision', 'Name8'], ['RN', 'patient', 'Ensure pudding', 'Carnation Instant'], ['shake', 'AM', 'encouragement', 'Patient'], ['bites', 'picky eater', 'RN', 'reports wife'], ['foods', 'patient', 'Calorie counts', 'Concerned'], ['nutrition status', 'poor'], [], [], ['tube feed', 'recent surgery'], ['supplemental tube', 'nutrition\n'], ['post-op', 'recovery'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['diet', 'nutrition support'], ['Encourage/assist with'], ['Encourage wife', 'food preference list', 'food\n'], ['Calorie counts'], ['record', 'kitchen', 'receipt'], ['eaten'], ['Oral supplements'], ['Multivitamin', 'Mineral supplement'], ['Tube', 'feeding', 'recommendations'], ['NGT', 'beginning tube', 'feeds'], ['poor'], ['feed goal', 'Nutren Pulmonary @ 45ml/hr'], ['calories', 'protein'], ['Check chemistry', 'daily'], ['page'], [], [], ['extubated'], ['Objective'], ['Height'], ['Admit weight'], ['Daily weight'], ['Weight change'], ['BMI'], [], [], ['AM'], [], ['medications', 'Multivitamins'], ['Labs'], ['Value'], [], ['Glucose'], [], ['AM'], ['Glucose Finger'], [], ['PM'], ['BUN'], [], ['AM'], ['Creatinine'], [], ['AM'], ['Sodium'], [], ['AM'], ['Potassium'], [], ['AM'], ['Chloride'], [], ['AM'], ['TCO2'], [], ['AM'], ['PO2', 'arterial'], [], ['AM'], ['PO2', 'venous'], [], ['PM'], ['PCO2', 'arterial'], [], ['AM'], ['PCO2', 'venous'], [], ['PM'], ['pH', 'arterial'], [], ['AM'], ['pH', 'venous'], [], ['PM'], ['pH', 'urine'], [], ['PM'], ['CO2', 'Calc'], [], ['AM'], ['CO2', 'Calc', 'venous'], [], ['PM'], ['Albumin'], [], ['AM'], ['Calcium', 'non-ionized'], [], ['AM'], ['Phosphorus'], [], ['AM'], ['Ionized Calcium'], [], ['AM'], ['Magnesium'], [], ['AM'], ['ALT'], [], ['AM'], ['Alkaline Phosphate'], [], ['AM'], ['AST'], [], ['AM'], ['Amylase'], [], ['AM'], ['Total', 'Bilirubin'], [], ['AM'], ['Triglyceride'], [], ['AM'], ['WBC'], ['K/uL\n'], ['AM'], ['Hgb'], [], ['AM'], ['Hematocrit'], [], ['AM'], ['Current diet', 'nutrition support', 'Nutren Pulmonary Full strength'], ['rate', 'Advance rate', 'Goal rate'], ['Residual Check', 'feeding', 'residual'], ['Flush', 'water q4h'], ['GI', 'soft', 'flesiseal'], ['SKIN', 'stage 2 wounds'], ['Assessment', 'Nutritional Status'], ['year', 'male', 'admitted', '[**1', 'endocarditis', 'MVR', 'aortic'], ['valve debridement', '[**1', 'patient', 'extubated', 'morning', 'Patient'], ['CCU', 'patient', 'minimal', 'nutrition'], ['hospital admission', 'po food', 'nutrition\n'], ['supplements', 'ccu', 'day', 'tube feed', 'OR'], ['Patient', 'malnutrition'], ['feeding tube', 'restart tube feed', 'temporary', 'nutrition support', 'post'], ['recovery'], ['Medical Nutrition Therapy', 'Plan', 'Recommend'], ['Adv diet'], ['Continue tube feed', 'supplemental nutrition support', 'goal'], ['Nutren Pulmonary goal'], ['Phos binder', 'serum phos', 'elevated'], ['Check chemistry', 'daily'], ['BS', 'management'], [], []]
In [47]:
import gensim
In [48]:
import pandas as pd
pd.options.mode.chained_assignment = None
import numpy as np
import re

from gensim.models import word2vec

from sklearn.manifold import TSNE
import matplotlib.pyplot as plt
%matplotlib inline
In [49]:
model2 = word2vec.Word2Vec(corpus, min_count=1)
In [50]:
model2.wv['arterial']
Out[50]:
array([ 0.00013019,  0.003344  , -0.00708544, -0.00159427,  0.0081028 ,
        0.00709473, -0.00361546,  0.00286618, -0.00868333,  0.00618364,
       -0.00490692, -0.00322038,  0.00950667,  0.00046824,  0.00780402,
       -0.00637494,  0.00521521,  0.00974663, -0.00869079, -0.00548494,
       -0.00707419, -0.00477135, -0.00354835, -0.00861325,  0.0077392 ,
       -0.00470258,  0.00814598,  0.00517979, -0.00698033,  0.00417376,
        0.00571336, -0.00746173, -0.00746034, -0.00247982, -0.00873334,
       -0.00131061, -0.00040421,  0.0033197 ,  0.00115664, -0.00137005,
       -0.00573323,  0.00178918, -0.00099749,  0.00666213,  0.00421187,
        0.00455798,  0.00141395, -0.00275581, -0.00444963, -0.00110244,
        0.00148484, -0.00316248, -0.00694154, -0.00804633, -0.00956423,
       -0.00594124, -0.00204597, -0.00417715, -0.00704359, -0.00347067,
        0.00436875, -0.00379218,  0.00851057,  0.00131818, -0.00782046,
        0.00945757,  0.00792965,  0.00580111, -0.00718854,  0.00604589,
        0.00366075,  0.00538735,  0.00434065,  0.00160183, -0.0030248 ,
        0.00848467,  0.0094828 ,  0.00410622, -0.00332144,  0.00019091,
        0.0014279 , -0.00866013, -0.0085843 ,  0.00035536,  0.0009494 ,
       -0.00559326, -0.00486383, -0.00689919,  0.00878915, -0.00015642,
       -0.00444508,  0.00586895,  0.00914714, -0.00385484,  0.00839188,
        0.00535901,  0.00589855, -0.0001103 ,  0.0082804 , -0.00724772],
      dtype=float32)
In [51]:
import numpy as np

def tsne_plot(model, words):
    "Creates a t-SNE model and plots it"
    labels = []
    tokens = []

    for word in words:
        if word in model.wv:
            tokens.append(model.wv[word])
            labels.append(word)
        else:
            print(f"Skipping '{word}' as it is not present in the model's vocabulary.")

    tsne_model = TSNE(perplexity=11, early_exaggeration=12, n_components=2, init='pca', n_iter=1000, random_state=23)
    new_values = tsne_model.fit_transform(np.array(tokens))  # Convert tokens to a NumPy array

    x = []
    y = []
    for value in new_values:
        x.append(value[0])
        y.append(value[1])

    plt.figure(figsize=(16, 16))
    for i in range(len(x)):
        plt.scatter(x[i], y[i])
        plt.annotate(labels[i],
                     xy=(x[i], y[i]),
                     xytext=(5, 2),
                     textcoords='offset points',
                     ha='right',
                     va='bottom')
    plt.show()
In [52]:
vocabs = model2.wv.index_to_key  # Access vocabulary using index_to_key
new_v = np.array(list(vocabs))
tsne_plot(model1, new_v)
Skipping 'AM' as it is not present in the model's vocabulary.
Skipping 'PM' as it is not present in the model's vocabulary.
Skipping 'arterial' as it is not present in the model's vocabulary.
Skipping 'venous' as it is not present in the model's vocabulary.
Skipping 'pH' as it is not present in the model's vocabulary.
Skipping 'patient' as it is not present in the model's vocabulary.
Skipping 'PCO2' as it is not present in the model's vocabulary.
Skipping 'CO2' as it is not present in the model's vocabulary.
Skipping 'nutrition support' as it is not present in the model's vocabulary.
Skipping 'intake' as it is not present in the model's vocabulary.
Skipping 'Patient' as it is not present in the model's vocabulary.
Skipping 'Recommend' as it is not present in the model's vocabulary.
Skipping 'Potassium' as it is not present in the model's vocabulary.
Skipping 'Chloride' as it is not present in the model's vocabulary.
Skipping 'TCO2' as it is not present in the model's vocabulary.
Skipping 'Creatinine' as it is not present in the model's vocabulary.
Skipping 'Sodium' as it is not present in the model's vocabulary.
Skipping 'Glucose' as it is not present in the model's vocabulary.
Skipping 'non-ionized' as it is not present in the model's vocabulary.
Skipping 'Phosphorus' as it is not present in the model's vocabulary.
Skipping 'Magnesium' as it is not present in the model's vocabulary.
Skipping 'Current diet' as it is not present in the model's vocabulary.
Skipping 'Assessment' as it is not present in the model's vocabulary.
Skipping 'Nutritional Status' as it is not present in the model's vocabulary.
Skipping 'Medical Nutrition Therapy' as it is not present in the model's vocabulary.
Skipping 'Calcium' as it is not present in the model's vocabulary.
Skipping 'Plan' as it is not present in the model's vocabulary.
Skipping 'Estimation' as it is not present in the model's vocabulary.
Skipping 'Labs' as it is not present in the model's vocabulary.
Skipping 'Value' as it is not present in the model's vocabulary.
Skipping 'feeding' as it is not present in the model's vocabulary.
Skipping 'Hgb' as it is not present in the model's vocabulary.
Skipping 'K/uL
' as it is not present in the model's vocabulary.
Skipping 'urine' as it is not present in the model's vocabulary.
Skipping 'Albumin' as it is not present in the model's vocabulary.
Skipping 'medications' as it is not present in the model's vocabulary.
Skipping 'Admit weight' as it is not present in the model's vocabulary.
Skipping 'male' as it is not present in the model's vocabulary.
Skipping 'Usual body weight' as it is not present in the model's vocabulary.
Skipping 'Ideal body weight' as it is not present in the model's vocabulary.
Skipping 'risk' as it is not present in the model's vocabulary.
Skipping 'Glucose Finger' as it is not present in the model's vocabulary.
Skipping 'Height' as it is not present in the model's vocabulary.
Skipping 'Weight change' as it is not present in the model's vocabulary.
Skipping 'year' as it is not present in the model's vocabulary.
Skipping 'Daily weight' as it is not present in the model's vocabulary.
Skipping 'Objective' as it is not present in the model's vocabulary.
Skipping 'Total' as it is not present in the model's vocabulary.
Skipping 'Specifics' as it is not present in the model's vocabulary.
Skipping 'Inadequate' as it is not present in the model's vocabulary.
Skipping 'Check chemistry' as it is not present in the model's vocabulary.
Skipping 'AST' as it is not present in the model's vocabulary.
Skipping 'ALT' as it is not present in the model's vocabulary.
Skipping 'Bilirubin' as it is not present in the model's vocabulary.
Skipping 'current' as it is not present in the model's vocabulary.
Skipping 'Ionized Calcium' as it is not present in the model's vocabulary.
Skipping 'Pt' as it is not present in the model's vocabulary.
Skipping 'recommendations' as it is not present in the model's vocabulary.
Skipping 'goal' as it is not present in the model's vocabulary.
Skipping 'malnutrition' as it is not present in the model's vocabulary.
Skipping 'management' as it is not present in the model's vocabulary.
Skipping 'Replete' as it is not present in the model's vocabulary.
Skipping 'evaluation' as it is not present in the model's vocabulary.
Skipping 'Food allergies' as it is not present in the model's vocabulary.
Skipping 'diet' as it is not present in the model's vocabulary.
Skipping 'Protein' as it is not present in the model's vocabulary.
Skipping 'Fluid' as it is not present in the model's vocabulary.
Skipping 'intolerances' as it is not present in the model's vocabulary.
Skipping 'Estimated Nutritional Needs' as it is not present in the model's vocabulary.
Skipping 'fiber' as it is not present in the model's vocabulary.
Skipping 'Triglyceride' as it is not present in the model's vocabulary.
Skipping 'Amylase' as it is not present in the model's vocabulary.
Skipping 'tube feed' as it is not present in the model's vocabulary.
Skipping 'Adjusted' as it is not present in the model's vocabulary.
Skipping 'Diagnosis' as it is not present in the model's vocabulary.
Skipping 'Calories' as it is not present in the model's vocabulary.
Skipping 'RISS' as it is not present in the model's vocabulary.
Skipping 'replete' as it is not present in the model's vocabulary.
Skipping 'Goal rate' as it is not present in the model's vocabulary.
Skipping 'Residual Check' as it is not present in the model's vocabulary.
Skipping 'SLP' as it is not present in the model's vocabulary.
Skipping 'residual' as it is not present in the model's vocabulary.
Skipping 'Name8' as it is not present in the model's vocabulary.
Skipping 'soft' as it is not present in the model's vocabulary.
Skipping 'supplements' as it is not present in the model's vocabulary.
Skipping 'endocarditis' as it is not present in the model's vocabulary.
Skipping 'rate' as it is not present in the model's vocabulary.
Skipping 'HN' as it is not present in the model's vocabulary.
Skipping 'KCl' as it is not present in the model's vocabulary.
Skipping 'Soft' as it is not present in the model's vocabulary.
Skipping 'nutrition' as it is not present in the model's vocabulary.
Skipping 'Non-tender' as it is not present in the model's vocabulary.
Skipping 'protein' as it is not present in the model's vocabulary.
Skipping 'morning' as it is not present in the model's vocabulary.
Skipping 'mitral regurgitation [**3' as it is not present in the model's vocabulary.
Skipping 'bacterial' as it is not present in the model's vocabulary.
Skipping 'repletion' as it is not present in the model's vocabulary.
Skipping 'Noted' as it is not present in the model's vocabulary.
Skipping 'bowel sounds' as it is not present in the model's vocabulary.
Skipping 'severe' as it is not present in the model's vocabulary.
Skipping 'lytes' as it is not present in the model's vocabulary.
Skipping 'flail leaflet' as it is not present in the model's vocabulary.
Skipping 'hypocaloric diet' as it is not present in the model's vocabulary.
Skipping 'questions' as it is not present in the model's vocabulary.
Skipping 'vegetations' as it is not present in the model's vocabulary.
Skipping 'Multivitamins' as it is not present in the model's vocabulary.
Skipping 'intubated' as it is not present in the model's vocabulary.
Skipping 'page' as it is not present in the model's vocabulary.
Skipping 'swallow' as it is not present in the model's vocabulary.
Skipping 'Bowel sounds' as it is not present in the model's vocabulary.
Skipping 'Abdominal' as it is not present in the model's vocabulary.
Skipping 'Milrinone' as it is not present in the model's vocabulary.
Skipping 'Advance rate' as it is not present in the model's vocabulary.
Skipping 'extubate' as it is not present in the model's vocabulary.
Skipping 'lasix' as it is not present in the model's vocabulary.
Skipping 'Mineral supplement' as it is not present in the model's vocabulary.
Skipping 'Multivitamin' as it is not present in the model's vocabulary.
Skipping 'plan' as it is not present in the model's vocabulary.
Skipping 'tolerance' as it is not present in the model's vocabulary.
Skipping 'water' as it is not present in the model's vocabulary.
Skipping 'Flush' as it is not present in the model's vocabulary.
Skipping 'FoLIC Acid' as it is not present in the model's vocabulary.
Skipping 'Patient transferred' as it is not present in the model's vocabulary.
Skipping 'regular diet' as it is not present in the model's vocabulary.
Skipping 'Nutren Pulmonary goal' as it is not present in the model's vocabulary.
Skipping 'BS' as it is not present in the model's vocabulary.
Skipping 'serum phos' as it is not present in the model's vocabulary.
Skipping 'elevated' as it is not present in the model's vocabulary.
Skipping 'Isosource' as it is not present in the model's vocabulary.
Skipping 'Start regular' as it is not present in the model's vocabulary.
Skipping 'serum glucose' as it is not present in the model's vocabulary.
Skipping 'spoke' as it is not present in the model's vocabulary.
Skipping 'poor' as it is not present in the model's vocabulary.
Skipping 'Patient asleep' as it is not present in the model's vocabulary.
Skipping 'calories' as it is not present in the model's vocabulary.
Skipping 'Potassium Chloride' as it is not present in the model's vocabulary.
Skipping 'edema' as it is not present in the model's vocabulary.
Skipping 'staphylococcus aureus' as it is not present in the model's vocabulary.
Skipping 'increase' as it is not present in the model's vocabulary.
Skipping 'po food' as it is not present in the model's vocabulary.
Skipping 'Calorie counts' as it is not present in the model's vocabulary.
Skipping 'tolerated' as it is not present in the model's vocabulary.
Skipping 'famotidine' as it is not present in the model's vocabulary.
Skipping 'tube feedings' as it is not present in the model's vocabulary.
Skipping 'debridement' as it is not present in the model's vocabulary.
Skipping 'tol' as it is not present in the model's vocabulary.
Skipping 'Docusate Sodium' as it is not present in the model's vocabulary.
Skipping 'Furosemide' as it is not present in the model's vocabulary.
Skipping 'CT surgery' as it is not present in the model's vocabulary.
Skipping 'Adequate' as it is not present in the model's vocabulary.
Skipping 'restart tube feed' as it is not present in the model's vocabulary.
Skipping 'consult' as it is not present in the model's vocabulary.
Skipping 'extubated' as it is not present in the model's vocabulary.
Skipping 'right sided neglect' as it is not present in the model's vocabulary.
Skipping 'infarct(neurologic
' as it is not present in the model's vocabulary.
Skipping 'Bg' as it is not present in the model's vocabulary.
Skipping 'amount' as it is not present in the model's vocabulary.
Skipping 'nutritional' as it is not present in the model's vocabulary.
Skipping 'left sided facial droop' as it is not present in the model's vocabulary.
Skipping 'right
' as it is not present in the model's vocabulary.
Skipping 'Cont' as it is not present in the model's vocabulary.
Skipping 'sided hemiparesis' as it is not present in the model's vocabulary.
Skipping 'dry' as it is not present in the model's vocabulary.
Skipping 'clean' as it is not present in the model's vocabulary.
Skipping 'PEG site' as it is not present in the model's vocabulary.
Skipping 'expressive aphasia' as it is not present in the model's vocabulary.
Skipping 'MVR(29mm St. [**' as it is not present in the model's vocabulary.
Skipping 'left posterior cerebral artery' as it is not present in the model's vocabulary.
Skipping 'Change' as it is not present in the model's vocabulary.
Skipping 'worst' as it is not present in the model's vocabulary.
Skipping 'issue' as it is not present in the model's vocabulary.
Skipping 'right parietal-occipital
' as it is not present in the model's vocabulary.
Skipping 'SAH' as it is not present in the model's vocabulary.
Skipping 'left intraparenchymal bleed' as it is not present in the model's vocabulary.
Skipping 'contre-coup injury' as it is not present in the model's vocabulary.
Skipping 'post' as it is not present in the model's vocabulary.
Skipping 'goal TF' as it is not present in the model's vocabulary.
Skipping 'tube feeds' as it is not present in the model's vocabulary.
Skipping 'per chart' as it is not present in the model's vocabulary.
Skipping 'Debridement' as it is not present in the model's vocabulary.
Skipping 'gag' as it is not present in the model's vocabulary.
Skipping 'Wt' as it is not present in the model's vocabulary.
Skipping 'needs' as it is not present in the model's vocabulary.
Skipping 'IBW' as it is not present in the model's vocabulary.
Skipping 'Diabetes' as it is not present in the model's vocabulary.
Skipping 'Dyslipidemia' as it is not present in the model's vocabulary.
Skipping 'Hypertension' as it is not present in the model's vocabulary.
Skipping 'Mechanical Valve' as it is not present in the model's vocabulary.
Skipping 'Diet Order' as it is not present in the model's vocabulary.
Skipping 'Aortic Valve' as it is not present in the model's vocabulary.
Skipping 'oriented' as it is not present in the model's vocabulary.
Skipping 'advanced' as it is not present in the model's vocabulary.
Skipping 'time' as it is not present in the model's vocabulary.
Skipping 'nutritional decline' as it is not present in the model's vocabulary.
Skipping 'Potential' as it is not present in the model's vocabulary.
Skipping 'nutrition risk' as it is not present in the model's vocabulary.
Skipping '[**1' as it is not present in the model's vocabulary.
Skipping 'comfort' as it is not present in the model's vocabulary.
Skipping 'monitored' as it is not present in the model's vocabulary.
Skipping 'intervention' as it is not present in the model's vocabulary.
Skipping 'Comments' as it is not present in the model's vocabulary.
Skipping 'multiple' as it is not present in the model's vocabulary.
Skipping 'admitted' as it is not present in the model's vocabulary.
Skipping 'progress' as it is not present in the model's vocabulary.
Skipping 'aspiration' as it is not present in the model's vocabulary.
Skipping 'protonix' as it is not present in the model's vocabulary.
Skipping 'initiation' as it is not present in the model's vocabulary.
Skipping 'Teeth extraction' as it is not present in the model's vocabulary.
Skipping 'Multi-vitamin' as it is not present in the model's vocabulary.
Skipping 's/p' as it is not present in the model's vocabulary.
Skipping 'feeding tube' as it is not present in the model's vocabulary.
Skipping 'team' as it is not present in the model's vocabulary.
Skipping 'Fiber' as it is not present in the model's vocabulary.
Skipping 'PEG placement' as it is not present in the model's vocabulary.
Skipping 'soft/+bs' as it is not present in the model's vocabulary.
Skipping 'infusing' as it is not present in the model's vocabulary.
Skipping 'NamePattern1' as it is not present in the model's vocabulary.
Skipping 'preop stroke' as it is not present in the model's vocabulary.
Skipping 'Carnation Instant' as it is not present in the model's vocabulary.
Skipping 'nutrition
' as it is not present in the model's vocabulary.
Skipping 'recovery' as it is not present in the model's vocabulary.
Skipping 'head trauma' as it is not present in the model's vocabulary.
Skipping 'deficits' as it is not present in the model's vocabulary.
Skipping 'Left lower extremity' as it is not present in the model's vocabulary.
Skipping 'day' as it is not present in the model's vocabulary.
Skipping 'infarcts' as it is not present in the model's vocabulary.
Skipping 'non-hemorrhagic' as it is not present in the model's vocabulary.
Skipping 'multipl' as it is not present in the model's vocabulary.
Skipping 'Head Bleed' as it is not present in the model's vocabulary.
Skipping 'illness' as it is not present in the model's vocabulary.
Skipping 'Low' as it is not present in the model's vocabulary.
Skipping 'occ petechiae' as it is not present in the model's vocabulary.
Skipping 'upper' as it is not present in the model's vocabulary.
Skipping 'Extremities' as it is not present in the model's vocabulary.
Skipping 'Rash' as it is not present in the model's vocabulary.
Skipping 'Skin' as it is not present in the model's vocabulary.
Skipping 'fentanyl' as it is not present in the model's vocabulary.
Skipping 'Pls page' as it is not present in the model's vocabulary.
Skipping 'Pro' as it is not present in the model's vocabulary.
Skipping 'Absent' as it is not present in the model's vocabulary.
Skipping 'suspicious' as it is not present in the model's vocabulary.
Skipping 'DM' as it is not present in the model's vocabulary.
Skipping 'septic emboli' as it is not present in the model's vocabulary.
Skipping 'Calculations' as it is not present in the model's vocabulary.
Skipping 'Po' as it is not present in the model's vocabulary.
Skipping 'K' as it is not present in the model's vocabulary.
Skipping 'OGT' as it is not present in the model's vocabulary.
Skipping 'mental status' as it is not present in the model's vocabulary.
Skipping 'Monitor tube feed tolerance' as it is not present in the model's vocabulary.
Skipping 'phos binder' as it is not present in the model's vocabulary.
Skipping 'Stage IV splenic laceration' as it is not present in the model's vocabulary.
Skipping 'minimal residuals' as it is not present in the model's vocabulary.
Skipping 'kcals/89 g Pro' as it is not present in the model's vocabulary.
Skipping 'changing TF' as it is not present in the model's vocabulary.
Skipping 'Pertinent medications' as it is not present in the model's vocabulary.
Skipping 'LR' as it is not present in the model's vocabulary.
Skipping 'Right lower extremity edema' as it is not present in the model's vocabulary.
Skipping 'placement' as it is not present in the model's vocabulary.
Skipping 'dinner
' as it is not present in the model's vocabulary.
Skipping 'S/P Fall' as it is not present in the model's vocabulary.
Skipping 'ssri' as it is not present in the model's vocabulary.
Skipping 'feeds' as it is not present in the model's vocabulary.
Skipping 'cirrhosis' as it is not present in the model's vocabulary.
Skipping 'smoker' as it is not present in the model's vocabulary.
Skipping 'colace' as it is not present in the model's vocabulary.
Skipping 'lunch' as it is not present in the model's vocabulary.
Skipping 'years' as it is not present in the model's vocabulary.
Skipping 'no' as it is not present in the model's vocabulary.
Skipping 'PMHx' as it is not present in the model's vocabulary.
Skipping 'MITRAL VALVE' as it is not present in the model's vocabulary.
Skipping 'fluid' as it is not present in the model's vocabulary.
Skipping 'Nutren Pulmonary Full strength' as it is not present in the model's vocabulary.
Skipping 'etoh' as it is not present in the model's vocabulary.
Skipping 'advance diet' as it is not present in the model's vocabulary.
Skipping 'Plus breakfast' as it is not present in the model's vocabulary.
Skipping 'admission' as it is not present in the model's vocabulary.
Skipping 'Ensure' as it is not present in the model's vocabulary.
Skipping 'Nicotine' as it is not present in the model's vocabulary.
Skipping 'Patch' as it is not present in the model's vocabulary.
Skipping 'Day' as it is not present in the model's vocabulary.
Skipping 'po' as it is not present in the model's vocabulary.
Skipping 'Regular' as it is not present in the model's vocabulary.
Skipping 'Supplement' as it is not present in the model's vocabulary.
Skipping 'salivary glands' as it is not present in the model's vocabulary.
Skipping 'Will sign' as it is not present in the model's vocabulary.
Skipping 'damaged' as it is not present in the model's vocabulary.
Skipping 'swallowing' as it is not present in the model's vocabulary.
Skipping 'focused care' as it is not present in the model's vocabulary.
Skipping 'increased' as it is not present in the model's vocabulary.
Skipping 'Pt s/p LRRT [**4' as it is not present in the model's vocabulary.
Skipping 'c/b hypoxia' as it is not present in the model's vocabulary.
Skipping 'requirements' as it is not present in the model's vocabulary.
Skipping 'clears' as it is not present in the model's vocabulary.
Skipping 'difficulty' as it is not present in the model's vocabulary.
Skipping 'measures' as it is not present in the model's vocabulary.
Skipping 'Clinically improving' as it is not present in the model's vocabulary.
Skipping 'floor' as it is not present in the model's vocabulary.
Skipping 'transition' as it is not present in the model's vocabulary.
Skipping 'medication' as it is not present in the model's vocabulary.
Skipping 'Screening' as it is not present in the model's vocabulary.
Skipping 's/s' as it is not present in the model's vocabulary.
Skipping 'goal rate' as it is not present in the model's vocabulary.
Skipping 'facial fx
' as it is not present in the model's vocabulary.
Skipping 'LF' as it is not present in the model's vocabulary.
Skipping 'docusate' as it is not present in the model's vocabulary.
Skipping 'Anticipate diet advancement' as it is not present in the model's vocabulary.
Skipping 'Advance diet' as it is not present in the model's vocabulary.
Skipping 'pepcid' as it is not present in the model's vocabulary.
Skipping 'Please page' as it is not present in the model's vocabulary.
Skipping 'prn' as it is not present in the model's vocabulary.
Skipping 'Name3' as it is not present in the model's vocabulary.
Skipping 'cough' as it is not present in the model's vocabulary.
Skipping 'patient's' as it is not present in the model's vocabulary.
Skipping 'adequate' as it is not present in the model's vocabulary.
Skipping 'Non-distended' as it is not present in the model's vocabulary.
Skipping 'HTN' as it is not present in the model's vocabulary.
Skipping 'Pplease page' as it is not present in the model's vocabulary.
Skipping 'eval' as it is not present in the model's vocabulary.
Skipping 'resume TF's' as it is not present in the model's vocabulary.
Skipping 'Pt s/p' as it is not present in the model's vocabulary.
Skipping 'estimated kcal' as it is not present in the model's vocabulary.
Skipping 'days' as it is not present in the model's vocabulary.
Skipping 'kcals/112 gr aa' as it is not present in the model's vocabulary.
Skipping 'thiamin' as it is not present in the model's vocabulary.
Skipping 'Increase' as it is not present in the model's vocabulary.
Skipping 'folate' as it is not present in the model's vocabulary.
Skipping 'vua TF' as it is not present in the model's vocabulary.
Skipping 'bowel' as it is not present in the model's vocabulary.
Skipping 'regimen' as it is not present in the model's vocabulary.
Skipping 'MOM' as it is not present in the model's vocabulary.
Skipping 'reglan' as it is not present in the model's vocabulary.
Skipping 'underfeeding' as it is not present in the model's vocabulary.
Skipping 'HN@60mL/hr' as it is not present in the model's vocabulary.
Skipping '[**2027**]-2200' as it is not present in the model's vocabulary.
Skipping 'Phos binder' as it is not present in the model's vocabulary.
Skipping 'breast ca' as it is not present in the model's vocabulary.
Skipping 'discontinue' as it is not present in the model's vocabulary.
Skipping 'NT' as it is not present in the model's vocabulary.
Skipping 'Ext' as it is not present in the model's vocabulary.
Skipping 'pulses' as it is not present in the model's vocabulary.
Skipping 'extremtiies' as it is not present in the model's vocabulary.
Skipping 'staphlyococcus aureus' as it is not present in the model's vocabulary.
Skipping 'epidural abscess' as it is not present in the model's vocabulary.
Skipping 'high risk' as it is not present in the model's vocabulary.
Skipping 'post cardiac' as it is not present in the model's vocabulary.
Skipping 'surgery' as it is not present in the model's vocabulary.
Skipping 'food' as it is not present in the model's vocabulary.
Skipping 'tube feed restarts' as it is not present in the model's vocabulary.
Skipping 'resume diet' as it is not present in the model's vocabulary.
Skipping 'rehab' as it is not present in the model's vocabulary.
Skipping 'M.  ' as it is not present in the model's vocabulary.
Skipping 'hospital CT' as it is not present in the model's vocabulary.
Skipping 'depressed' as it is not present in the model's vocabulary.
Skipping 'right frontal sinus' as it is not present in the model's vocabulary.
Skipping 'transferred' as it is not present in the model's vocabulary.
Skipping 'coumadin' as it is not present in the model's vocabulary.
Skipping 'prosthetic mitral valve' as it is not present in the model's vocabulary.
Skipping 'Staphylococcal endocarditis' as it is not present in the model's vocabulary.
Skipping 'c/b multiple' as it is not present in the model's vocabulary.
Skipping 'procedure' as it is not present in the model's vocabulary.
Skipping 'CSURG' as it is not present in the model's vocabulary.
Skipping 'strokes' as it is not present in the model's vocabulary.
Skipping 'Regular/ heart healthy' as it is not present in the model's vocabulary.
Skipping 'fever' as it is not present in the model's vocabulary.
Skipping 'spikes' as it is not present in the model's vocabulary.
Skipping 'fevers' as it is not present in the model's vocabulary.
Skipping 'image' as it is not present in the model's vocabulary.
Skipping 'abdomen' as it is not present in the model's vocabulary.
Skipping 'intermittent' as it is not present in the model's vocabulary.
Skipping 'abdominal pain' as it is not present in the model's vocabulary.
Skipping 'C-[**Doctor First Name 91**' as it is not present in the model's vocabulary.
Skipping 'delay surgery' as it is not present in the model's vocabulary.
Skipping 'Entered' as it is not present in the model's vocabulary.
Skipping 'By:[**Name (NI) **] [**Last Name (NamePattern1) **]' as it is not present in the model's vocabulary.
Skipping 'on:[**2113-1-20**]' as it is not present in the model's vocabulary.
Skipping 'abd soft' as it is not present in the model's vocabulary.
Skipping '12:01AM Procedure' as it is not present in the model's vocabulary.
Skipping 'Team' as it is not present in the model's vocabulary.
Skipping 'estimated' as it is not present in the model's vocabulary.
Skipping 'recommend' as it is not present in the model's vocabulary.
Skipping 'Nutren Pulmonary
' as it is not present in the model's vocabulary.
Skipping 'tube
' as it is not present in the model's vocabulary.
Skipping 'g-' as it is not present in the model's vocabulary.
Skipping 'intub' as it is not present in the model's vocabulary.
Skipping 'Banana flakes' as it is not present in the model's vocabulary.
Skipping 'q8h' as it is not present in the model's vocabulary.
Skipping 'Procedure Start' as it is not present in the model's vocabulary.
Skipping 'embolic' as it is not present in the model's vocabulary.
Skipping 'continuing' as it is not present in the model's vocabulary.
Skipping 'water q4h' as it is not present in the model's vocabulary.
Skipping 'Encourage/assist with' as it is not present in the model's vocabulary.
Skipping 'Encourage wife' as it is not present in the model's vocabulary.
Skipping 'food preference list' as it is not present in the model's vocabulary.
Skipping 'food
' as it is not present in the model's vocabulary.
Skipping 'record' as it is not present in the model's vocabulary.
Skipping 'kitchen' as it is not present in the model's vocabulary.
Skipping 'receipt' as it is not present in the model's vocabulary.
Skipping 'eaten' as it is not present in the model's vocabulary.
Skipping 'Oral supplements' as it is not present in the model's vocabulary.
Skipping 'beginning tube' as it is not present in the model's vocabulary.
Skipping 'feed goal' as it is not present in the model's vocabulary.
Skipping 'Nutren Pulmonary @ 45ml/hr' as it is not present in the model's vocabulary.
Skipping 'flesiseal' as it is not present in the model's vocabulary.
Skipping 'supplemental tube' as it is not present in the model's vocabulary.
Skipping 'SKIN' as it is not present in the model's vocabulary.
Skipping 'stage 2 wounds' as it is not present in the model's vocabulary.
Skipping 'aortic' as it is not present in the model's vocabulary.
Skipping 'valve debridement' as it is not present in the model's vocabulary.
Skipping 'minimal' as it is not present in the model's vocabulary.
Skipping 'hospital admission' as it is not present in the model's vocabulary.
Skipping 'ccu' as it is not present in the model's vocabulary.
Skipping 'OR' as it is not present in the model's vocabulary.
Skipping 'temporary' as it is not present in the model's vocabulary.
Skipping 'Adv diet' as it is not present in the model's vocabulary.
Skipping 'Continue tube feed' as it is not present in the model's vocabulary.
Skipping 'post-op' as it is not present in the model's vocabulary.
Skipping 'recent surgery' as it is not present in the model's vocabulary.
Skipping 'vomiting' as it is not present in the model's vocabulary.
Skipping 'meals' as it is not present in the model's vocabulary.
Skipping 'Patient reports' as it is not present in the model's vocabulary.
Skipping 'wt loss' as it is not present in the model's vocabulary.
Skipping 'usual body' as it is not present in the model's vocabulary.
Skipping 'caloric intake' as it is not present in the model's vocabulary.
Skipping 'Recommendations' as it is not present in the model's vocabulary.
Skipping 'Encourage pos' as it is not present in the model's vocabulary.
Skipping 'Colace (Held)' as it is not present in the model's vocabulary.
Skipping 'Ground solids' as it is not present in the model's vocabulary.
Skipping 'liquids' as it is not present in the model's vocabulary.
Skipping 'Ensure Pudding' as it is not present in the model's vocabulary.
Skipping 'Breakfast' as it is not present in the model's vocabulary.
Skipping 'calorie counts' as it is not present in the model's vocabulary.
Skipping 'nutrition status' as it is not present in the model's vocabulary.
Skipping 'green liquid stool' as it is not present in the model's vocabulary.
Skipping 'recommended' as it is not present in the model's vocabulary.
Skipping 'consistency diet' as it is not present in the model's vocabulary.
Skipping 'supervision' as it is not present in the model's vocabulary.
Skipping 'Ensure pudding' as it is not present in the model's vocabulary.
Skipping 'shake' as it is not present in the model's vocabulary.
Skipping 'encouragement' as it is not present in the model's vocabulary.
Skipping 'bites' as it is not present in the model's vocabulary.
Skipping 'picky eater' as it is not present in the model's vocabulary.
Skipping 'reports wife' as it is not present in the model's vocabulary.
Skipping 'foods' as it is not present in the model's vocabulary.
Skipping 'Concerned' as it is not present in the model's vocabulary.
Skipping 'bllod cultures' as it is not present in the model's vocabulary.
Skipping 'night' as it is not present in the model's vocabulary.
Skipping 'tongue ca' as it is not present in the model's vocabulary.
Skipping 'supplemental nutrition support' as it is not present in the model's vocabulary.
Skipping 'Magnesium sulfate' as it is not present in the model's vocabulary.
Skipping 'Heparin drip' as it is not present in the model's vocabulary.
Skipping 'stool' as it is not present in the model's vocabulary.
Skipping 'mitral valve endocarditis' as it is not present in the model's vocabulary.
Skipping 'aortic valve [**1' as it is not present in the model's vocabulary.
Skipping 'prolonged' as it is not present in the model's vocabulary.
Skipping 'ground solids' as it is not present in the model's vocabulary.
Skipping 'thin liquid' as it is not present in the model's vocabulary.
Skipping 'video swallow' as it is not present in the model's vocabulary.
Skipping 'long term' as it is not present in the model's vocabulary.
Skipping 'non-dextrose IV fluids' as it is not present in the model's vocabulary.
Skipping 'optimize' as it is not present in the model's vocabulary.
Skipping 'post-op healing' as it is not present in the model's vocabulary.
Skipping 'lyte' as it is not present in the model's vocabulary.
Skipping 'repletions' as it is not present in the model's vocabulary.
Skipping 'follow up' as it is not present in the model's vocabulary.
Skipping 'Patient oob' as it is not present in the model's vocabulary.
Skipping 'tube feed running' as it is not present in the model's vocabulary.
Skipping 'strength' as it is not present in the model's vocabulary.
Skipping 'PEG placement yesterday' as it is not present in the model's vocabulary.
Skipping 'tube feed ordered' as it is not present in the model's vocabulary.
Skipping 'changed' as it is not present in the model's vocabulary.
Skipping 'Implement' as it is not present in the model's vocabulary.
Skipping 'tube feeding' as it is not present in the model's vocabulary.
Skipping 'formula' as it is not present in the model's vocabulary.
Skipping 'female' as it is not present in the model's vocabulary.
Skipping 'ovarian ca' as it is not present in the model's vocabulary.
Skipping 'vertigo' as it is not present in the model's vocabulary.
Skipping 'falls' as it is not present in the model's vocabulary.
Skipping 'normal saline' as it is not present in the model's vocabulary.
Skipping 'trauma' as it is not present in the model's vocabulary.
Skipping 'body' as it is not present in the model's vocabulary.
Skipping 'status' as it is not present in the model's vocabulary.
Skipping 'hospital S/P' as it is not present in the model's vocabulary.
Skipping 'glucose' as it is not present in the model's vocabulary.
Skipping 'home' as it is not present in the model's vocabulary.
Skipping 'multiple injuries' as it is not present in the model's vocabulary.
Skipping 'Le Forte fx' as it is not present in the model's vocabulary.
Skipping 'sinus' as it is not present in the model's vocabulary.
Skipping 'orbital fx' as it is not present in the model's vocabulary.
Skipping 'facial' as it is not present in the model's vocabulary.
Skipping 'tongue swelling' as it is not present in the model's vocabulary.
Skipping '[**6-4**' as it is not present in the model's vocabulary.
Skipping 'initiating' as it is not present in the model's vocabulary.
Skipping 'Check residuals' as it is not present in the model's vocabulary.
Skipping 'Monitor lytes' as it is not present in the model's vocabulary.
Skipping 'special tube feed' as it is not present in the model's vocabulary.
Skipping 'excess' as it is not present in the model's vocabulary.
Skipping 'wife' as it is not present in the model's vocabulary.
Skipping 'improving' as it is not present in the model's vocabulary.
Skipping 'Cardiology Teaching' as it is not present in the model's vocabulary.
Skipping 'Physician' as it is not present in the model's vocabulary.
Skipping 'Note' as it is not present in the model's vocabulary.
Skipping 'examined' as it is not present in the model's vocabulary.
Skipping 'physically present' as it is not present in the model's vocabulary.
Skipping 'resident' as it is not present in the model's vocabulary.
Skipping 'fellow' as it is not present in the model's vocabulary.
Skipping 'portions' as it is not present in the model's vocabulary.
Skipping 'services' as it is not present in the model's vocabulary.
Skipping 'plans' as it is not present in the model's vocabulary.
Skipping 'remarks' as it is not present in the model's vocabulary.
Skipping 'Medical Decision Making' as it is not present in the model's vocabulary.
Skipping 'aggressive' as it is not present in the model's vocabulary.
Skipping 'TG' as it is not present in the model's vocabulary.
Skipping 'diuresis' as it is not present in the model's vocabulary.
Skipping 'dyspneic' as it is not present in the model's vocabulary.
Skipping 'saturations' as it is not present in the model's vocabulary.
Skipping 'Renal service' as it is not present in the model's vocabulary.
Skipping 'multifactorial' as it is not present in the model's vocabulary.
Skipping 'sediment' as it is not present in the model's vocabulary.
Skipping 'ATM' as it is not present in the model's vocabulary.
Skipping 'stable' as it is not present in the model's vocabulary.
Skipping 'speaking' as it is not present in the model's vocabulary.
Skipping 'somnolent' as it is not present in the model's vocabulary.
Skipping 'lipids' as it is not present in the model's vocabulary.
Skipping 'Check' as it is not present in the model's vocabulary.
Skipping 'Noted discharge' as it is not present in the model's vocabulary.
Skipping 'Start tube' as it is not present in the model's vocabulary.
Skipping 'Multiple' as it is not present in the model's vocabulary.
Skipping 'Vitamins' as it is not present in the model's vocabulary.
Skipping 'Non-Standard' as it is not present in the model's vocabulary.
Skipping 'Date' as it is not present in the model's vocabulary.
Skipping 'gravity drainage' as it is not present in the model's vocabulary.
Skipping 'Mitral valve endocarditis' as it is not present in the model's vocabulary.
Skipping 'aortic valve [**' as it is not present in the model's vocabulary.
Skipping 'weekend' as it is not present in the model's vocabulary.
Skipping 'meeting' as it is not present in the model's vocabulary.
Skipping 'fluid restricted formula' as it is not present in the model's vocabulary.
Skipping 'Tube feeding' as it is not present in the model's vocabulary.
Skipping 'Isosource 1.5cal goal' as it is not present in the model's vocabulary.
Skipping 'adv' as it is not present in the model's vocabulary.
Skipping 'amino' as it is not present in the model's vocabulary.
Skipping 'D5 @10 ml/hr' as it is not present in the model's vocabulary.
Skipping 'lansoprazole' as it is not present in the model's vocabulary.
Skipping 'hypoactive bowel sounds' as it is not present in the model's vocabulary.
Skipping 'Patient s/p video swallow' as it is not present in the model's vocabulary.
Skipping 'supplement' as it is not present in the model's vocabulary.
Skipping 'parenteral nutrition' as it is not present in the model's vocabulary.
Skipping 'PICC' as it is not present in the model's vocabulary.
Skipping 'ordered' as it is not present in the model's vocabulary.
Skipping 'week' as it is not present in the model's vocabulary.
Skipping 'glycemic control' as it is not present in the model's vocabulary.
No description has been provided for this image
In [53]:
# load pre-trained word2vec embeddings
import gensim
import gensim.downloader as api

info = api.info()  # show info about available models/datasets
pretrained_model= api.load("glove-wiki-gigaword-50")  # download the model and return as object ready for use


# model = gensim.models.KeyedVectors.load_word2vec_format('PubMed-and-PMC-ri.tar.gz', binary=True)
In [54]:
pretrained_model.most_similar("headache")
Out[54]:
[('headaches', 0.8957463502883911),
 ('fatigue', 0.8547418117523193),
 ('pains', 0.8367806673049927),
 ('aches', 0.8088536262512207),
 ('nausea', 0.8022516369819641),
 ('discomfort', 0.789000391960144),
 ('pain', 0.7766653895378113),
 ('anxiety', 0.7692658305168152),
 ('symptom', 0.7564830183982849),
 ('migraine', 0.7536172866821289)]
In [55]:
new_corpus_in_pretrained_model = []
for word in new_v:
    if word in pretrained_model.key_to_index:
        new_corpus_in_pretrained_model.append(word)
    else:
        print(word)  # Print out-of-vocabulary words
AM
PM
pH
PCO2
PO2
Calc
CO2
nutrition support
Patient
Recommend
NPO
Potassium
Chloride
TCO2
Creatinine
BUN
Sodium
Glucose
non-ionized
Phosphorus
Magnesium
Current diet
GI
Assessment
Nutritional Status
Medical Nutrition Therapy
Calcium
Plan
Estimation
Labs
Value
WBC
Hematocrit
Hgb
K/uL

Albumin
Admit weight
BMI
Usual body weight
Ideal body weight
Glucose Finger
Height
Weight change
Daily weight
Objective
Total
Specifics
Inadequate
Check chemistry
AST
ALT
Alkaline Phosphate
Bilirubin
Ionized Calcium
Pt
TF
Tube
Replete
NGT
Food allergies
Protein
Fluid
Estimated Nutritional Needs
Triglyceride
Amylase
tube feed
Adjusted
Diagnosis
Calories
RISS
Goal rate
Residual Check
SLP
TPN
PEG
RN
Name8
Fibersource
PMH
HN
KCl
Soft
MVR
Non-tender
Diet
mitral regurgitation [**3
repletion
Noted
bowel sounds
lytes
flail leaflet
Thiamine
hypocaloric diet
Multivitamins
Bowel sounds
Abdominal
Milrinone
Advance rate
extubate
Mineral supplement
Multivitamin
BEE
Flush
FoLIC Acid
Patient transferred
regular diet
Nutren Pulmonary goal
BS
serum phos
Isosource
Start regular
serum glucose
Patient asleep
Potassium Chloride
staphylococcus aureus
po food
MD
Calorie counts
famotidine
tube feedings
Nafcillin
Docusate Sodium
Furosemide
Heparin
CT surgery
Adequate
restart tube feed
IV
extubated
right sided neglect
infarct(neurologic

Bg
left sided facial droop
right

Cont
sided hemiparesis
PEG site
expressive aphasia
MVR(29mm St. [**
left posterior cerebral artery
Change
right parietal-occipital

SAH
left intraparenchymal bleed
contre-coup injury
goal TF
tube feeds
per chart
Debridement
Wt
IBW
Diabetes
Dyslipidemia
Hypertension
Mechanical Valve
Diet Order
Aortic Valve
nutritional decline
Potential
nutrition risk
[**1
Comments
Ranitidine
Teeth extraction
Multi-vitamin
s/p
feeding tube
Fiber
PEG placement
PA
soft/+bs
NamePattern1
preop stroke
Carnation Instant
nutrition

Folic Acid
ABX
head trauma
Left lower extremity
non-hemorrhagic
multipl
Head Bleed
Low
occ petechiae
Extremities
Rash
Skin
S/P
Pls page
Pro
Absent
DM
septic emboli
Calculations
Po
OSH
K
OGT
TID
mental status
CT
Monitor tube feed tolerance
phos binder
Stage IV splenic laceration
minimal residuals
kcals/89 g Pro
changing TF
Pertinent medications
LR
Right lower extremity edema
dinner

S/P Fall
AVR
PMHx
MITRAL VALVE
Nutren Pulmonary Full strength
Phenytoin
Esmolol
Dilantin
advance diet
Plus breakfast
Ensure
Nicotine
Patch
NKFA
Day
Regular
Supplement
salivary glands
Will sign
focused care
Pt s/p LRRT [**4
c/b hypoxia
O2
PACU
Clinically improving
Screening
MICU
CATEGORY
goal rate
facial fx

LF
docusate
Anticipate diet advancement
Advance diet
Please page
Name3
patient's
Non-distended
HTN
Pplease page
resume TF's
SLP-
Abx
Pt s/p
IVC
estimated kcal
BG
SS
kcals/112 gr aa
Increase
vua TF
MOM
reglan
underfeeding
HN@60mL/hr
[**2027**]-2200
XRT
Phos binder
breast ca
ND
NT
NBS
Ext
extremtiies
staphlyococcus aureus
epidural abscess
high risk
post cardiac
tube feed restarts
resume diet
M.  
hospital CT
right frontal sinus
prosthetic mitral valve
Staphylococcal endocarditis
MV
AV
c/b multiple
CSURG
Regular/ heart healthy
abdominal pain
C-[**Doctor First Name 91**
delay surgery
Entered
By:[**Name (NI) **] [**Last Name (NamePattern1) **]
on:[**2113-1-20**]
abd soft
12:01AM Procedure
Team
Nutren Pulmonary

tube

g-
intub
Pantoprazole
Norepinephrine drip
Banana flakes
q8h
Procedure Start
rehab s/p fall
water q4h
Encourage/assist with
Encourage wife
food preference list
food

Oral supplements
beginning tube
feed goal
Nutren Pulmonary @ 45ml/hr
flesiseal
supplemental tube
SKIN
stage 2 wounds
valve debridement
CCU
hospital admission
OR
Adv diet
Continue tube feed
recent surgery
Patient reports
wt loss
PTA
usual body
caloric intake
Recommendations
Encourage pos
Colace (Held)
Ground solids
Ensure Pudding
Breakfast
calorie counts
nutrition status
green liquid stool
consistency diet
Ensure pudding
picky eater
reports wife
Concerned
bllod cultures
tongue ca
supplemental nutrition support
Coumadin
Lasix
Colace
Magnesium sulfate
Heparin drip
mitral valve endocarditis
aortic valve [**1
ground solids
thin liquid
video swallow
long term
non-dextrose IV fluids
post-op healing
repletions
follow up
PRN
Patient oob
tube feed running
PEG placement yesterday
tube feed ordered
Implement
tube feeding
ovarian ca
polymyalgia
NIDDM
Dextrose
normal saline
Obese
hospital S/P
multiple injuries
Le Forte fx
orbital fx
tongue swelling
[**6-4**
Check residuals
Monitor lytes
special tube feed
Cardiology Teaching
Physician
Note
physically present
Medical Decision Making
TG
dyspneic
saturations
Renal service
ARF
ATM
Createnine
Check
Noted discharge
Start tube
Multiple
Vitamins
Non-Standard
Date
gravity drainage
Mitral valve endocarditis
aortic valve [**
fluid restricted formula
Tube feeding
Isosource 1.5cal goal
D5 @10 ml/hr
lansoprazole
hypoactive bowel sounds
Patient s/p video swallow
PPN
Monday
parenteral nutrition
PICC
glycemic control
SUBJECT_ID
In [56]:
import numpy as np

def tsne_plot(model, words):
    "Creates a t-SNE model and plots it"
    labels = []
    tokens = []

    for word in words:
        if word in model:
            tokens.append(model[word])
            labels.append(word)
        else:
            print(f"Skipping '{word}' as it is not present in the model's vocabulary.")

    tsne_model = TSNE(perplexity=11, early_exaggeration=12, n_components=2, init='pca', n_iter=1000, random_state=23)
    new_values = tsne_model.fit_transform(np.array(tokens))  # Convert tokens to a NumPy array

    x = []
    y = []
    for value in new_values:
        x.append(value[0])
        y.append(value[1])

    plt.figure(figsize=(16, 16))
    for i in range(len(x)):
        plt.scatter(x[i], y[i])
        plt.annotate(labels[i],
                     xy=(x[i], y[i]),
                     xytext=(5, 2),
                     textcoords='offset points',
                     ha='right',
                     va='bottom')
    plt.show()
In [57]:
tsne_plot(pretrained_model,new_corpus_in_pretrained_model)
No description has been provided for this image
In [ ]:
# import en_core_sci_lg
# nlp = en_core_sci_lg.load()
# doc = []
# for i in range(len(notes)):
#   doc.append(nlp(notes[i]))
#   displacy.render(doc, style="ent", jupyter=True)
#   print("*******************************************************************************************************************************************")
In [ ]:
# import en_ner_craft_md
# nlp = en_ner_craft_md.load()
# doc = []
# for i in range(len(notes)):
#   doc.append(nlp(notes[i]))
#   displacy.render(doc, style="ent", jupyter=True)
#   print("*******************************************************************************************************************************************")
In [ ]:
# import en_ner_jnlpba_md
# nlp = en_ner_jnlpba_md.load()
# doc = []
# for i in range(len(notes)):
#   doc.append(nlp(notes[i]))
#   displacy.render(doc, style="ent", jupyter=True)
#   print("*******************************************************************************************************************************************")
In [ ]:
# import en_ner_bionlp13cg_md
# nlp = en_ner_bionlp13cg_md.load()
# doc = []
# for i in range(len(notes)):
#   doc.append(nlp(notes[i]))
#   displacy.render(doc, style="ent", jupyter=True)
#   print("*******************************************************************************************************************************************")
In [ ]:
# import en_ner_bc5cdr_md
# nlp = en_ner_bc5cdr_md.load()
# doc = []
# for i in range(len(notes)):
#   doc.append(nlp(notes[i]))
#   displacy.render(doc, style="ent", jupyter=True)
#   print("*******************************************************************************************************************************************")
In [ ]: